Abstract
Baby JR was born by caesarean section at 34 weeks gestation fter premature rupture of membranes (ROM) which lasted ∼48h, ccompaniedbyclinical concernsofmaternal chorioamnionitisdue o raised white cell count (WCC) and C reactive protein (CRP). The aby was initially well with no respiratory distress. However, due o the prolonged preterm ROM and signs of maternal chorioamionitis the baby was transferred to special care baby unit (SCBU) nd given benzylpenicillin and gentamicin. Over the next 4 days the child remained well. Blood cultures ere negative and CRP remained normal. Consequently, the empircal antibiotics that had been commenced at birth were stopped nd he was discharged from special care to be cared for on he postnatal ward with his mother. At this time the neonatal eam were made aware of the maternal history of Chlamydia trahomatis (see below), so an eye swab was taken and sent to the aboratory for C. trachomatis, Herpes Simplex Virus (HSV) 1 and and adenovirus testing by real time Polymerase Chain Reacion (PCR) assays. The sample was negative for all pathogens ested. Onday6of life thebabybecameunwellwith lethargy, pallor and uskiness during feeds. Hewas therefore readmitted to special care
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