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- Sujithra Velayuthan, MD
- Senthilkumar Sankararaman, MD
- Department of Pediatrics, Louisiana State University Health Sciences Center, Shreveport, LA.
Author Disclosure
Drs Velayuthan and Sankararaman have disclosed no financial relationships relevant to this article. This commentary does not contain discussion of unapproved/investigative use of a commercial product/device.
Presentation:
After an emergency caesarean section for suspected chorioamnionitis, a 29-year-old woman delivers a 1600-g girl born at 31 weeks gestational age. The mother received appropriate prenatal care, and the pregnancy was otherwise uncomplicated. The results of prenatal serologic analysis for hepatitis B, hepatitis C, human immunodeficiency virus, and syphilis were all negative. Serologic analysis for rubella demonstrated adequate immunity. Gonorrhea and chlamydia test results were negative; group B streptococcus status was unknown. Physical examination findings were unremarkable apart from the prematurity. Growth parameters were appropriate for gestational age. No congenital anomalies were noted.
Soon after birth, the infant developed respiratory distress syndrome and required mechanical ventilation and surfactant therapy. An umbilical venous catheter was placed to provide total parenteral nutrition and antibiotics. The infant also required an umbilical arterial catheter for blood pressure monitoring and blood sampling.
On the third day after birth, the infant developed a strikingly erythematous macular discoloration of the …
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