A 21-year-old gravida 4, para 3 African-American mother developed preterm labor. After a course of antenatal steroids and 2 days of tocolysis, dichorionic twins were delivered at 31 weeks'gestation. Twin A, with a birthweight of 1,600 g, was delivered via normal spontaneous vertex delivery, with Apgar scores of 7 and 8 at 1 and 5 minutes, respectively. Twin B required a cesarean delivery secondary to placental abruption, had a birthweight of 1,340 g, and Apgar scores of 7 and 8 at 1 and 5 minutes, respectively. Twin A was briefly given nasal continuous positive airway pressure and had an uneventful course. Twin B required a brief period of intubation, but also had an uneventful course. Four days before discharge of twin A, when he was 5 weeks old, 3 infants in the NICU developed nasal congestion and were tested with the direct fluorescence antibody (DFA) method for parainfluenza virus (PIV)....
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September 2016
Index of Suspicion in the Nursery|
September 01 2016
Legal Briefs: Parainfluenza and Immunocompromised Twin
Maureen E. Sims, MD
Maureen E. Sims, MD
*Department of Pediatrics, University of California, Los Angeles, Los Angeles, CA.
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AUTHOR DISCLOSURE
Dr Sims has disclosed that she has been compensated for reviewing records and providing testimony in some of the cases highlighted in Legal Briefs. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.
Neoreviews (2016) 17 (9): e538–e541.
Citation
Maureen E. Sims; Legal Briefs: Parainfluenza and Immunocompromised Twin. Neoreviews September 2016; 17 (9): e538–e541. https://doi.org/10.1542/neo.17-9-e538
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