Klebsiella Sepsis in a Premature Baby(SNUCH CPC-45)

Abstract

(Clinicopathologic conference)

This male baby was born to a 39 year old mother via Caesarian section because of breech presentation and premature rupture of the membrane. The gestation period was 30weeks and the birth weight was 1200gm. The mother had had 3 spontaneous abortions and 4 therapeutic abortions. During this pregnancy she suffered from a severe toxemia of pregnancy for which she received magnesium sulfate and hydralazine. The immediate postnatal activity of the baby was fair although Moro and sucking reflexes were poor. Apgar scores at 1 minute and 5 minutes were 3 and 7,respectively. The muscle tone was very poor and he was slightly cyanotic. Because of respiratory difficulty the baby was intubated and intermittent positive pressure breathing was applied.