Introduction Purpura fulminans in the neonatal population is a rare but potentially life-threatening condition complicated by thrombosis, resultant vital organ necrosis, and gangrene of extremities. Considering rapid evolution pathogenetic mechanism, an index suspicion, early identification, prompt intervention are imperative for improved outcomes. The majority purpura cases have infectious eti...

HELLP syndrome is most often diagnosed between 27 and 37 weeks gestation. It is also a diagnosis that can be seen during the postpartum period. The effects of HELLP syndrome on the neonate can be significant. Recognizing the risks to the neonate can assist the clinician in preparing for the neonate prior to delivery. In doing so, the mortality and morbidity rates can be reduced.

Bacteremic/20 wk PEN × 9 d Uncomplicated term delivery; neonate unaffected Zervoudakis and Cederqvist, 1977 Bacteremic/19 wk AMP × 3 wk Uncomplicated term delivery; neonate unaffected Hume, 1976 Bacteremic/18 wk AMP × 2 wk; then PO AMX Uncomplicated delivery at 39 wk; neonate unaffected Benshushan et al., 2002 Bacteremic/18 wk AMP × 7 d, GEN × 2 d; then PO AMX Diagnosed postpartum; preterm deli...

The immune response of the neonate is poor and is dependent on passive immunity provided by maternal Ig. However, here we show that exposure of the neonate to environmental antigens induces a germinal center (GC) reaction. In the peripheral blood of premature infants one finds IgG class switched B cells expressing a selected V-gene repertoire. These data suggest that restrictions in the reperto...

1. Describe the association between gestational age, birthweight, and postnatal age and blood pressure in the neonate. 2. Delineate the primary clinical consideration in an infant who has hypotension. 3. Describe the controversy surrounding the relationship between antenatal steroid therapy and neonatal blood pressure. 4. Delineate the aspects of management of respiratory illnesses in the neona...

Introduction: Congenital epulis or congenital granular cell tumor is a rare benign tumor of the oral cavity presenting at birth in neonates. A slightly increased risk for congenital malformations after in vitro fertilization (IVF) persists. This condition may interfere with respiration, feeding or adequate closure of the mouth. A decisive diagnosis is made by histopathological analysis. The exa...

Understanding long-distance dispersal patterns for wide-ranging species is critical to developing effective conservation strategies (Lockwood et al. 2002, Shanks et al. 2003, Gerber et al. 2005, Figueira and Crowder 2006). California sea lions (Zalophus californianus) in the Gulf of California (GoC) are thought to include distinct populations based on limited dispersal and resulting genetic pop...

Introduction: The novel coronavirus (COVID-19) was first identified in Wuhan City, Hubei province of China, November 2019. As at September 2020, over 28 million infections have been with almost a deaths worldwide causing an alarming pandemic. Clinical presentations pregnant patients COVID-19 could be atypical normal temperature (56%) and leukocytosis. This is further masked by the features preg...