A diverticulum of the right atrium was found on the floor of the coronary sinus in a neonate. The diverticulum was distinguished from a pericardial cyst by contrast echocardiography, and its relations with coronary sinus and coronary venous return were identified by coronary angiography. Because the diverticulum compressed the left ventricular inferior wall and prevented its growth, it was exci...

The intrauterine growth retardation (IUGR) takes second position after the premature births as a cause for neonate with smaller weight for it's gestational age. Perinatal morbidity of retard children is important, but perinatal mortality is about eight times higher then normal weighted neonates. It is very important to make the right diagnosis of IUGR, the cause of their illness, the therapy th...

A case of Malassezia pachydermatis fungemia in a preterm neonate is described. The isolate was identified by rDNA sequencing and was resistant to fluconazole and flucytosine. Since M. pachydermatis does not require lipid supplementation for growth, it can be misidentified as a Candida species. The report highlights M. pachydermatis as a cause of late onset sepsis in preterm neonates and emphasi...

1. Explain the relationship of the frequency of hyperglycemia with the birthweight and gestational age of the neonate. 2. List factors that may decrease glucose tolerance in the neonate. 3. Describe the major mechanism(s) contributing to altered regulation of neonatal glucose metabolism. 4. List the untoward effects of hyperglycemia in the neonate. 5. Describe the beneficial effects of insulin ...

Backround: The term “hydrops fetalis” refers to excessive accumulation of pathologic serous fluid within the fetal soft tissues and body cavities. There are two categories, immune nonimmune hydrops (NIHF). Currently 90 percent cases nonimmune, because decrease incidence with advent anti-D globulin. Case presentation: We present a case Parvovirus B19 (PB19) infection that resulted in NIHF. Fetus...

COVID-19, a clinical syndrome caused by the coronavirus (SARS-CoV-2) became pandemic following an outbreak of viral pneumonitis, first identified in Wuhan, China. The disease manifestations vary ranging from mild upper respiratory tract infection to severe acute distress (ARDS) and even death. Although most neonatal cases are asymptomatic, rarely, they can present with cytokine storm mimicking ...

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...