A 2-week-old boy is referred to our institution for further evaluation of an intraventricular hemorrhage (IVH). He was born at 40 and 1/7 weeks' gestation weighing 3,535 g via cesarean delivery for failure to progress and nonreassuring fetal heart tracing to a 24-year-old gravida 1, para 1 mother with chorioamnionitis. Results of prenatal ultrasonography and maternal laboratory tests were normal. Apgar scores were 3 and 7 at 1 and 5 minutes, respectively. Continuous positive airway pressure was initiated for poor respiratory effort. He received supplemental oxygen until postnatal day 8 due to persistent tachypnea and clinical respiratory distress syndrome. Given an initial newborn sepsis risk score of 0.74, (1) which increased to greater than 3 with persistent hypothermia and a supplemental oxygen requirement, the patient received ampicillin and gentamicin for 48 hours, as well as acyclovir for 5 days. Cultures of blood, urine, and cerebrospinal fluid were all...
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January 2020
Index of Suspicion|
January 01 2020
Case 2: A Rare Cause of Intraventricular Hemorrhage in a Term Neonate
Ellen McMahon, MD;
Ellen McMahon, MD
*Department of Pediatric and Adolescent Medicine, Mayo Clinic School of Graduate Medical Education, Rochester, MN
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Abbey Freed, DO;
Abbey Freed, DO
†Division of General Pediatrics and
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Melanie Rudnick, MD;
Melanie Rudnick, MD
‡Division of Hospital Medicine, Department of Pediatrics, Connecticut Children’s Medical Center, Hartford, CT
§Department of Pediatrics, University of Connecticut School of Medicine, Farmington, CT
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Mark H. Corden, MD
Mark H. Corden, MD
¶Division of Hospital Medicine, Department of Pediatrics, Children’s Hospital Los Angeles, Los Angeles, CA
**Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA
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AUTHOR DISCLOSURE
Drs McMahon, Freed, Rudnick, and Corden have disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.
Pediatr Rev (2020) 41 (1): 31–33.
Citation
Ellen McMahon, Abbey Freed, Melanie Rudnick, Mark H. Corden; Case 2: A Rare Cause of Intraventricular Hemorrhage in a Term Neonate. Pediatr Rev January 2020; 41 (1): 31–33. https://doi.org/10.1542/pir.2018-0156
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