Water birth has grown in popularity over the recent years. Although beneficial for mothers, there are concerns for the infants. There are previous reports of infection following water birth. The information regarding infection with Haemophilus parainfluenzae is limited. We report a case of a neonate with H. parainfluenzae bacteremia following water birth. The child was successfully treated with...

introduction: evaluation of the cerebrospinal fluid (csf) white blood cell (wbc) count and glucose and protein concentrations is used to assess the probability of the presence of central nervous system (cns) infection. although normal values are well established for csf cell counts and protein and glucose contents in children and adults, this is not the case for neonates. the purpose of this st...

Infants delivered prematurely often have respiratory distress related to surfactant deficiency or pneumonia. The current case describes a premature neonate who presented with increased work of breathing and recurrent left pneumothorax. Although chest x-ray showed left upper lobe changes consistent with pulmonary interstitial emphysema, subsequent CT scan performed due to recurrent pneumothorace...

Most umbilical hernias in infants do not need surgery and the ring will eventually close. Occasionally few complications can arise and incarceration is most common. Spontaneous rupture of the hernia and eventual evisceration is a rarely seen complication. A 3-week-old neonate having umbilical hernia presented with rupture of the sac with evisceration of bowel within a few days of first visit. N...

AIMS To determine the level of oxidative stress and cell damage as a result of exposure to O(2) at birth. METHODS Using glutathione S transferase (GST) as an indicator of oxidative stress, GST activity in cord blood was compared with that in samples taken three hours after birth. Twenty four prematurely born infants and eight full term infants were studied. To test whether stronger effects oc...

The auditory evoked brain stem potential was recorded in 14 normal full-term infants and nine normal-hearing adults. Silver-silver chloride electrodes were placed at nasion, forehead, vertex, each mastoid over the bony prominence, and the seventh cervical vertebra (noncephalic reference) in order to study the scalp distribution of the auditory brain stem response. Large differences in the scalp...

Premature infants are particularly at risk of iatrogenic pharyngoesophageal perforation. It is a rare occurrence but when it does occur it often mimics esophageal atresia. We presented a case of a term neonate who presented with a hypopharyngeal perforation that resulted during ritual procedure (Ghaanti) done by grandmother. Clinical findings, a plain chest xray, an esophagography and endoscopy...

Umbilical vessel catheterization is a common procedure in Neonatal Intensive Care Units, especially in very low birthweight infants. Rarely, umbilical artery catheters break, and the retained fragments can cause thrombosis, infection, distal embolization, and even death. Herein, we describe a neonate with clinically significant bilateral limb ischemia developing after removal of a broken umbili...

Respiratory failure in infants and children is a common cause of ICU admission, and diseases that jeopardize the airway are the most frequent cause of cardiac arrest in neonatal and pediatric patients.1,2 In neonates specifically, there are numerous causes for respiratory distress, with upper-airway obstruction being an important source of morbidity and mortality.3,4 This case will discuss the ...

Fractures of the clavicle in the neonate are usually diagnosed by clinical examination and confirmed by plain radiography. Exposure of newborn infants to irradiation should be avoided if possible. Following the clinical examination of 2978 neonates, 15 had suspected fractures of the clavicle. All were confirmed by ultrasound. In combination with clinical examination, ultrasound is a satisfactor...