A Newborn Baby with Cyanosis and Persistent Lung Infiltration (SNUCH CPC-37)

Abstract

(Clinicopathologic Conference)

This female newborn baby was transferred from a private OB/GY Clinic to SOWHA Children's Hospital NICU on her second day of life, because of low birth weight and cyanosis. She was born via vaginal route at the gestational age of 29 weeks to a 28-year-old primigradiva on Nov. 21, 1987. On physical examination, the body weight was 1,900gm, height 46cm, head circumference 30cm and chest circumference 28cm. The estimated gestational age was 30-32 weeks by Ballard scoring system. The body temperature was 36.8C, pulse rate 140/min and respiratory rate 64/min. The baby cried weakly. Peripheral cyanosis was noticed. The anterior fontanel was open and flat. The neck was supple. Chest wall retraction was prominent. Breathing sounds were coarse. Heart beats were regular, and no murmur was audible. The abdomen was soft without distension. The liver and the spleen were not palpable. General activity, Mora and sucking reflexes were poor.