Hydrops fetalis with isolated massive ascites in a preterm neonate with rhesus disease

SummarySignificant progress in prenatal care has decreased the incidence of rhesus incompatibility, which may result in hemolytic disease of the fetus and newborn (HDFN). This case report describes an unusual presentation of HDFN in a preterm infant delivered by caesarean section with isolated massive abdominal fluid collection as the leading clinical sign in addition to severe anemia. The immediate drainage of ascites provided transient clinical stabilization with improved pulmonary function in the delivery suite. After admission to the neonatal intensive care unit (NICU), HDFN treatment was initiated. This case report shows the importance of adequately trained staff including neonatologists, pediatricians and NICU nurses in the delivery suite to provide neonatal intensive care for HDFN.

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Neonatal COVID-19 Pneumonia: Report of the First Case in a Preterm Neonate in Mayotte, an Overseas Department of France

Children ◽

10.3390/children7080087 ◽

2020 ◽

Vol 7 (8) ◽

pp. 87

Author(s):

Soumeth Abasse ◽

Laila Essabar ◽

Tereza Costin ◽

Voninavoko Mahisatra ◽

Mohamed Kaci ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Case Report ◽

Respiratory Distress ◽

Neonatal Intensive Care ◽

Preterm Neonate ◽

Chest Ct ◽

First Case ◽

Chest Ct Scan

We report the first case of COVID-19 pneumonia in a preterm neonate in Mayotte, an overseas department of France. The newborn developed an acute respiratory distress by 14 days of life with bilateral ground glass opacities on a chest CT scan and a 6-week-long stay in the neonatal intensive care unit (NICU). This case report emphasizes the need for a cautious and close follow-up period for asymptomatic neonates born to mothers with COVID-19 infection. Vertical transmission cannot be excluded in this case.

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Emerging Infection with Elizabethkingia meningoseptica in Neonate. A Case Report

The Journal of Critical Care Medicine ◽

10.2478/jccm-2018-0013 ◽

2018 ◽

Vol 4 (3) ◽

pp. 96-100

Author(s):

Manuela Arbune ◽

Silvia Fotea ◽

Aurel Nechita ◽

Victorita Stefanescu

Keyword(s):

Cerebrospinal Fluid ◽

Intensive Care ◽

Case Report ◽

Clinical Condition ◽

Neonatal Intensive Care ◽

Severe Infection ◽

Neonatal Meningitis ◽

Elizabethkingia Meningoseptica ◽

Risk Of Mortality ◽

Febrile Episodes

Abstract Background: Elizabethkingia meningoseptica are Gram-negative rod bacteria which are commonly found in the environment. The bacteria have also been associated with nosocomial infections, having been isolated on contaminated medical equipment, especially in neonatal wards. Case report: Here, we present the case of a premature female infant born at 33 weeks’ gestational age, with neonatal meningitis. The onset was marked by fever, in the 5th day of life, while in the Neonatal Intensive Care Unit. The patient was commenced on Gentamicin and Ampicillin, but her clinical condition worsened. Psychomotor agitation and food refusal developed in the 10th day of life, and a diagnosis of bacterial meningitis was made based on clinical and cerebrospinal fluid findings. A strain of Elizabethkingia meningoseptica sensitive to Vancomycin, Rifampicin and Clarithromycin was isolated from cerebrospinal fluid. First-line antibiotic therapy with Meropenem and Vancomycin was adjusted by replacing Meronem with Piperacillin/Tazobactam and Rifampicin. The patient’s clinical condition improved, although some isolated febrile episodes were still present. The cerebrospinal fluid was normalized after 6 weeks of antibiotic treatment, although periventriculitis and tetraventricular hydrocephalus were revealed by imaging studies. Neurosurgical drainage was necessary. Conclusion: Elizabethkingia meningoseptica can cause severe infection, with high risk of mortality and neurological sequelae in neonates. Intensive care and multidisciplinary interventions are crucial for case management.

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Artificial womb technology and the significance of birth: why gestatelings are not newborns (or fetuses)

Journal of Medical Ethics ◽

10.1136/medethics-2019-105723 ◽

2019 ◽

Vol 45 (11) ◽

pp. 728-731 ◽

Cited By ~ 7

Author(s):

Elizabeth Chloe Romanis

Keyword(s):

Intensive Care ◽

Moral Status ◽

Neonatal Intensive Care ◽

Preterm Neonate ◽

Human Reproduction ◽

Proper Definition ◽

The Subject ◽

Definition Of

In a recent publication, I argued that there is a conceptual difference between artificial womb (AW) technology, capable of facilitating gestation ex utero, and neonatal intensive care, providing incubation to neonates born prematurely. One of the reasons I provided for this distinction was that the subjects of each process are different entities. The subject of the process of gestation ex utero is a unique human entity: a ‘gestateling’, rather than a fetus or a newborn preterm neonate. Nick Colgrove wrote a response to my paper, claiming that my distinction between the subject of an AW and a newborn (in intensive care) was false. He claims that I have not accounted for the proper definition of ‘birth’ and that gestatelings are not a distinct product of human reproduction. Further, Colgrove posits that even if I can successfully distinguish gestatelings from preterms, such a distinction is morally irrelevant because the entities would have the same moral status. In this paper, I address the three challenges raised and defend the claim that gestatelings are unique entities. Moreover, I argue that moral status should not be considered ipso facto determinative in the debate about AWs.

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Varicella exposure in a neonatal intensive care unit: Case report and control measures

American Journal of Infection Control ◽

10.1016/0196-6553(88)90028-4 ◽

1988 ◽

Vol 16 (4) ◽

pp. 167-172 ◽

Cited By ~ 17

Author(s):

Beth Hewitt Stover ◽

Karen M. Cost ◽

Charles Hamm ◽

Garrett Adams ◽

Larry N. Cook

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Case Report ◽

Neonatal Intensive Care Unit ◽

Neonatal Intensive Care ◽

Control Measures ◽

And Control

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Stimulation of Preterm Infants

Pediatrics in Review ◽

10.1542/pir.10.5.149 ◽

1988 ◽

Vol 10 (5) ◽

pp. 149-153

Author(s):

Tiffany Field

Keyword(s):

Intensive Care ◽

Gestational Age ◽

Neonatal Intensive Care ◽

Preterm Neonate ◽

Sensory Deprivation ◽

Bright Light ◽

Preterm Neonates ◽

Limited Data ◽

Intensive Care Nursery ◽

Continuous Noise

Preterm neonates are deprived of their final weeks in utero and may also be deprived of appropriate extrauterine stimulation. The environment of the incubator features bright light and continuous noise, and the neonates are handled infrequently and only briefly. Although the effects of this environment are virtually unknown, some have suggested that the neonatal intensive care nursery may constitute a source of sensory deprivation. Others have suggested that preterm neonates may be overstimulated or, at the very least, may experience inappropriate patterns, rather than inadequate amounts, of stimulation. Despite the limited data regarding the effects of routine stimulation in the intensive care nursery environment, a number of clinicians and researchers have provided stimulation experiences for preterm neonates and have investigated the effects of these. STIMULATION STUDIES The types of interventions provided for preterm neonates have included those that are thought to mimic the environment of the womb or the outside world. Some have viewed the preterm neonate as an extrauterine fetus, whereas others consider that the preterm neonate differs from the fetus insofar as sensory systems undergo physiologic changes at birth. Different forms of stimulation may be necessary for extrauterine development than for intrauterine maturation regardless of gestational age. Stimulation is usually begun as soon as possible after birth and continues until the infant approximates term gestational age, regains birth weight, or is discharged.

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Delayed delivery of the two remaining fetuses of triplet pregnancy: Case Report

Gynecology Obstetrics and Reproductive Medicine ◽

10.21613/gorm.2017.756 ◽

2016 ◽

pp. 1 ◽

Cited By ~ 1

Author(s):

Ibrahim A. Abdelazim ◽

Sulaiman Al-Munaifi

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Case Report ◽

Neonatal Intensive Care Unit ◽

Conservative Management ◽

Neonatal Intensive Care ◽

Oral Feeding ◽

Triplet Pregnancy ◽

Maternal Complications ◽

Still Birth

The incidence of multiple gestations increased after introduction of assisted reproduction techniques. Traditionally; in twin and/or triplet pregnancies; if one baby delivered preterm, this situation managed by delivery of the second and/or the third fetuses. This case report represents the suggested conservative management during the delayed delivery of the two remaining fetuses of triplet pregnancy, its outcome, and benefits. The studied woman is 35-years old, G3 P2, triplet pregnancy after intra-cytoplasmic sperm injection trial, presented with preterm premature rupture of membranes of the first fetus at 20+2 weeks` gestation, who delivered as fresh still birth. The couple informed, and agreed for the conservative management of the two remaining fetuses. After delivery of the first fetus; the umbilical cord ligated as high as possible in the cervix. She received systemic antibiotics for one week, with follow up of; infections, and consumptive coagulopathy parameters, and wellbeing of the fetuses through the conservative treatment. She received betamethasone to accelerate the lung maturity, and Mg-Sulphate for fetal neuro-protection at 24 weeks. The conservative management discontinued, and she delivered by cesarean section at 25 weeks+1 after attack of ante-partum hemorrhage. The delivered neonates admitted to neonatal intensive care unit on ventilator support, surfactant therapy, and antibiotics. 80 days after neonatal intensive care unit admission; the neonates discharged from the neonatal intensive care unit with corrected age of 36 weeks+, on complete oral feeding, and room air. The first fetus delivered at 20 weeks+2, fresh still birth (410 g), while the second, and third fetuses delivered at 25 weeks+1 (34 days of the conservative management), 780, and 840 g; respectively. Both fetuses survived, discharged from the neonatal intensive care unit after 80 days, at 2.2, and 2.3 kg weight; respectively. The birth weight, and the survival rate of both fetuses increased after the conservative management. The suggested conservative management of the delayed delivery may be associated with reduced neonatal mortalities without any maternal complications.

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