Problem-solving in clinical practice: persisting respiratory distress in a premature infant
Problem-solving in clinical practice: persisting respiratory distress in a premature infant
The deterioration of a previously stable preterm infant is a common scenario on the neonatal unit. The the most common bacterial causes of deterioration are nosocomial infections, such as coagulase-negative Staphylococcus and Staphylococcus aureus. Non-infective conditions such as pulmonary haemorrhage, anaemia of prematurity and necrotising enterocolitis may also cause preterm infants to deteriorate. This case chronicles the unusual diagnostic journey of an infant born at 27+1 weeks who deteriorated at 26 days of life and did not respond to antimicrobial therapy as anticipated.
infectious diseases, neonatology
Patel, Sanjay
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Owens, Daniel
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Medalla, Michelle
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Brown, Kelly N.
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Wijewardena, Kishani
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Thomas, Claire
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Iro, Mildred
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Jones, Christine E
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Faust, Saul
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Patel, Sanjay
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Owens, Daniel
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Medalla, Michelle
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Brown, Kelly N.
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Wijewardena, Kishani
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Thomas, Claire
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Iro, Mildred
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Jones, Christine E
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Faust, Saul
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Patel, Sanjay, Owens, Daniel, Medalla, Michelle, Brown, Kelly N., Wijewardena, Kishani, Thomas, Claire, Iro, Mildred, Jones, Christine E and Faust, Saul
(2020)
Problem-solving in clinical practice: persisting respiratory distress in a premature infant.
Archives of Disease in Childhood, [archdischild-2019-317757].
(doi:10.1136/archdischild-2019-317757).
Abstract
The deterioration of a previously stable preterm infant is a common scenario on the neonatal unit. The the most common bacterial causes of deterioration are nosocomial infections, such as coagulase-negative Staphylococcus and Staphylococcus aureus. Non-infective conditions such as pulmonary haemorrhage, anaemia of prematurity and necrotising enterocolitis may also cause preterm infants to deteriorate. This case chronicles the unusual diagnostic journey of an infant born at 27+1 weeks who deteriorated at 26 days of life and did not respond to antimicrobial therapy as anticipated.
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Congenital TB case v20
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Accepted/In Press date: 28 August 2020
e-pub ahead of print date: 19 October 2020
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© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Keywords:
infectious diseases, neonatology
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Local EPrints ID: 443975
URI: http://eprints.soton.ac.uk/id/eprint/443975
ISSN: 0003-9888
PURE UUID: 9fbd57a9-1dd1-4f24-a5de-f0ea0d5e21d6
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Date deposited: 18 Sep 2020 16:31
Last modified: 17 Mar 2024 05:54
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Contributors
Author:
Sanjay Patel
Author:
Daniel Owens
Author:
Michelle Medalla
Author:
Kelly N. Brown
Author:
Kishani Wijewardena
Author:
Claire Thomas
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