A 7-day-old female infant was referred from a secondary care hospital due to persistent seizures.
Born to a 34-year-old gravida 3, para 2 woman without prenatal care.
Maternal history not significant, except for the fact that the mother did not get vaccinations for her entire life.
Female infant delivered at home without medical assistance.
Umbilical cord was ligated with stringlike roots and cut with a nonsterile piece of metal.
No Apgar scores.
A gestational age of 38 weeks was estimated through the new Ballard test.
Anthropometric measurements at admission: Weight=2,900 g (37th percentile); head circumference=33 cm (34th percentile); height cm=48 (40th percentile).
The newborn presented on day 3 after birth with difficulty feeding; on day 4, she began crying incessantly and exhibiting irritability; from day 6, she had abnormal movements. The parents consulted a local hospital, where she was diagnosed with seizures, possible meningitis, and sepsis, without a favorable response...
