background: congenital hypothyroidism (ch) is the most common endocrine diseases and one of the major causes of preventable mental retardation. this study was conducted to investigate the prevalence of transient and permanent congenital hypothyroidism in kurdistan province, iran.materials and methods: in this cross-sectional study, all registered congenital hypothyroidism neonate of health cent...

pulmonary haemorrhage (pH) in a sick neonate is a life-threatening complication and is often associated with a high mortality. it is now often seen in extreme preterm and very low birth weight infants who are growth restricted and have received surfactant with significant respiratory distress syndrome. the mainstay of treatment includes ventilation and vigorous resuscitation of a shocked and cr...

CONTENTS INTRODUCTION . SECRETION . A C I D SECRETION: PHYSIOLOGICAL ASPECTS . A C I D S E C R E T I O N : N U T R I T I O N A L ASPECTS . The neonate . Meal p H . Distension and meal size . Particle size . . Meal size and frequency . Dietary proteins, peptides and amino acids . . Dietary carbohydrates . . Dietary fats . Beverages . Stimulatory eflects of whole foods. . BICARBONATE SECRETION . ...

We report an unusual case of a neonate with aphonia due to epiglottitis with a concomitant methicillin-resistant S taphylococcus aureus (MRSA) infection of the genitalia and associated septic emboli to the groin area and mouth. We postulate that the MRSA infection caused a transient bacteremia that seeded the epiglottis, likely causing the epiglottitis. In the evaluation of a neonate with aphon...

Splenic injuries are very rare in neonates. We report a case of splenic injury in a premature neonate, highlighting the importance of a high-index suspicion in early recognition of this rare but potentially fatal intra-abdominal injury. We also review the literature on possible aetiologies and mechanism of splenic injury, as well as its management. This is the first reported case of a very low-...

The most usual presentation of Plesiomonas shigelloides infection is an acute gastroenteritis, and extraintestinal manifestations are extremely rare. We reported the first neonate with P. shigelloides meningoencephalitis in China and reviewed the twelve cases previously reported. Our report adds further awareness on Plesiomonas shigelloides meningoencephalitis in neonate and points out the impo...

Limb gangrene in a neonate is an extremely rare clinical problem and bilateral symmetrical lower limbs type is even rarer. Only few clinical cases have been reported thus far with idiopathic etiology or associated with rare conditions. Known causes in literature are sepsis, extravasation of intravenous fluid, following a complicated delivery and secondary to invasive monitoring. This report des...

Aplasia cutis congenita is a rare congenital anomaly characterized by the absence of a patch of skin since birth. It may lead to life threatening complications at times. A 5-day-old neonate with Aplasia cutis congenita was received in a state of shock due to tremendous blood loss from the superior sagittal sinus. The neonate was resuscitated immediately followed by closure of the superior sagit...

apparent life-threatening event (alte) is a major cause of neonatal emergency visits. in this paper, we presented the case of a three-day-old neonate with multiple indications of alte. the patient was referred to the emergency department due to a cyanotic attack before admission. the neonate woke a few hours after breastfeeding and turned blue while crying, which was resolved spontaneously with...

cerebral sinovenous thrombosis (csvt) is increasingly diagnosed in neonates. despite many studies which have addressed diagnosis and management of pediatric csvt, diagnosis of cvsd in neonates is difficult. a female neonate born by natural vaginal delivery was diagnosed with csvt after initiation of seizure. the seizure was stabilized and after performing diagnostic tests, the diagnosis of csvt...