Preterm infants are highly susceptible to injuries following necessary and often life-saving medical interventions. Esophageal perforation is a rare, yet serious complication that can be caused by aerodigestive tract suction, endotracheal intubation, or nasogastric tube placement. We present the case of a neonate born at 23 weeks plus three days of gestation with chest radiography showing malpo...

OBJECTIVE To review methods for evaluating iodine deficiency in pregnant women and young infants and to discuss factors to be considered in the interpretation of their results. DESIGN Review of the literature regarding the various methods available for assessing iodine status. SETTING Population surveys and research studies. SUBJECTS Pregnant women and young infants. RESULTS Several fac...

Neonatal thrombocytosis is a very rare phenomenon in infants born to addict mothers. It can be due to opioids withdrawal and occurs a few days after delivery. The etiology is unknown and it is eradicated gradually without any complication. The reported neonate was born to a heroin addict mother who has used methadone during pregnancy. The neonate was admitted in 14th day of life in neonatal int...

Background: Congenital chylothorax is the most common cause of pleural effusion in newborn infants. These infants show signs of respiratory distress at birth. Chemical pleurodesis with OK-432 has recently been proposed for cases of persistent congenital chylothorax as an alternative method to surgery. Here we report a case of neonate with congenital chylothorax who developed hemothorax and shoc...

1. List the age-specific causes of liver disease in neonates, infants, older children, and adolescents. 2. Explain why fractionation of serum bilirubin is necessary in infants who remain jaundiced after 2 weeks of age. 3. Characterize the syndrome of “neonatal hepatitis” and explain how it differs from viral hepatitis. 4. Characterize biliary atresia and identify findings from the history, phys...

Because of a report of necrotizing enterocolitis and death of a neonate from cyclopentolate eyedrops, we prospectively studied the effects of cyclopentolate 0.5% and 0.25% ophthalmic solutions and of a placebo on gastric volume and acid secretions in 20 pre-term infants. Placebo and cyclopentolate 0.25% eyedrops had no significant effect on the tested gastric functions. However, cyclopentolate ...

Respiratory failure is the leading cause of death in the neonatal period. The anatomic and functional basis for this, particularly in full-term infants, most often is persistent pulmonary hypertension of the neonate (PPHN). This condition is reversible but can cause very severe and unrelenting respiratory failure and ultimate death when uncontrolled. Recent technologic advances have expanded th...

Pancreatic lipase catalyses the hydrolysis of emulsified triglycerides to form a transparent solution of monoglycerides and fatty acids. Levels of serum pancreatic lipase were measured in neonates known to have cystic fibrosis and compared with levels in control infants. During the first weeks of life infants with cystic fibrosis had raised serum pancreatic lipase values in parallel with raised...

Apparent life-threatening event (ALTE) is a major cause of neonatal emergency visits. In this paper, we presented the case of a three-day-old neonate with multiple indications of ALTE. The patient was referred to the emergency department due to a cyanotic attack before admission. The neonate woke a few hours after breastfeeding and turned blue while crying, which was resolved spontaneously with...

OBJECTIVE To highlight the association between atrial flutter and accessory connections in the fetus and young infant. DESIGN A retrospective review from January 1985 to January 1990. PATIENTS Fetuses, neonates, and young infants with atrial flutter. RESULTS Four fetuses and five infants presented with atrial flutter. In two fetuses and one infant sinus rhythm returned spontaneously. The ...