Abstract
A healthy three-month-old boy with an anterior ectopic anus was admitted for an elective anoplasty. He developed a fever and signs of acute cardiorespiratory distress while in hospital on the night before his surgery. He was a full-term baby with no other known congenital anomalies. He was on no medications before admission, but was given an oral laxative for bowel washout in hospital. Although birth weight was at the third percentile, he had been thriving at home and was formula-fed. The infant had no history of upper airway congestion, cough, or infectious contacts. On developmental screening, he appeared normal for his age.
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