Abstract
Acute respiratory distress in near-termneonates constitutes a medical emergency and may require ventilator support, vasopressors, inhaled nitric oxide, and in some cases, extracorporeal membrane oxygenation. We describe two infants who presented with severe respiratory distress in whom dramatic improvement occurred after they were diagnosed with adrenal failure and started on hydrocortisone. Boy BC was an African American neonate born at 36 weeks of gestation to a 20-year-old mother by C-section due to failure to progress and a failed attempt at vacuum extraction. His birth weight was 2258 g (< 10%ile), length 46 cm (< 10% ile), and head circumference (HC) 31 cm (< 10%ile). Family history was significant for the death of two maternal uncles during infancy. Pregnancy was uncomplicated and the infant required oxygen and continuous positive airway pressure (CPAP) in the delivery room. Apgar scores were 5 and 7, respectively. He developed hypothermia and hypoglycemia, and he was started on empiric antibiotics; his initial complete
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.