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It Is Not Always Sepsis: Fatal Tachypnea in a Newborn
Coarctation of the aorta (CoA) is a congenital cardiac malformation that is well understood. Despite being well characterized, CoA is a commonly missed congenital heart disease (CHD) during the newborn period. We report a full-term nine-day-old male who presented to the pediatric emergency departmen...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840949/ https://www.ncbi.nlm.nih.gov/pubmed/29527378 http://dx.doi.org/10.1155/2018/7858192 |
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author | Levene, Rachel Pollak-Christian, Elza Garg, Ashish Keenaghan, Michael |
author_facet | Levene, Rachel Pollak-Christian, Elza Garg, Ashish Keenaghan, Michael |
author_sort | Levene, Rachel |
collection | PubMed |
description | Coarctation of the aorta (CoA) is a congenital cardiac malformation that is well understood. Despite being well characterized, CoA is a commonly missed congenital heart disease (CHD) during the newborn period. We report a full-term nine-day-old male who presented to the pediatric emergency department (ED) with isolated tachypnea. After an initial sepsis workup, subsequent investigations revealed critical CoA. Because the primary workup focused on sepsis, there was a significant delay in prostaglandin E1 (PGE(1)) initiation. This case illustrates the importance of early CoA recognition and timely initiation of PGE(1) in newborns who present with suspected sepsis along with tachypnea. |
format | Online Article Text |
id | pubmed-5840949 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-58409492018-03-11 It Is Not Always Sepsis: Fatal Tachypnea in a Newborn Levene, Rachel Pollak-Christian, Elza Garg, Ashish Keenaghan, Michael Case Rep Pediatr Case Report Coarctation of the aorta (CoA) is a congenital cardiac malformation that is well understood. Despite being well characterized, CoA is a commonly missed congenital heart disease (CHD) during the newborn period. We report a full-term nine-day-old male who presented to the pediatric emergency department (ED) with isolated tachypnea. After an initial sepsis workup, subsequent investigations revealed critical CoA. Because the primary workup focused on sepsis, there was a significant delay in prostaglandin E1 (PGE(1)) initiation. This case illustrates the importance of early CoA recognition and timely initiation of PGE(1) in newborns who present with suspected sepsis along with tachypnea. Hindawi 2018-02-21 /pmc/articles/PMC5840949/ /pubmed/29527378 http://dx.doi.org/10.1155/2018/7858192 Text en Copyright © 2018 Rachel Levene et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Levene, Rachel Pollak-Christian, Elza Garg, Ashish Keenaghan, Michael It Is Not Always Sepsis: Fatal Tachypnea in a Newborn |
title | It Is Not Always Sepsis: Fatal Tachypnea in a Newborn |
title_full | It Is Not Always Sepsis: Fatal Tachypnea in a Newborn |
title_fullStr | It Is Not Always Sepsis: Fatal Tachypnea in a Newborn |
title_full_unstemmed | It Is Not Always Sepsis: Fatal Tachypnea in a Newborn |
title_short | It Is Not Always Sepsis: Fatal Tachypnea in a Newborn |
title_sort | it is not always sepsis: fatal tachypnea in a newborn |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840949/ https://www.ncbi.nlm.nih.gov/pubmed/29527378 http://dx.doi.org/10.1155/2018/7858192 |
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