Currently, rubella virus infections are very rare in many countries, and may not be recognized promptly. However, congenital rubella syndrome still appears, often in infants of mothers coming from countries with suboptimal vaccination programs. We describe a case of CRS in a full-term baby girl born to a foreign mother who documented perinatal antibodies against rubella. The baby had the classical abnormalities seen in infants with CRS include congenital cardiac and ocular anomalies. The diagnosis was confirmed by positive rubella serology in both infant and mother. Vaccination is the only known prophylactic measure for congenital rubella syndrome.
Fetomaternal hemorrhage (FMH) indicates the passage of fetal blood into the maternal circulation. In most pregnancies, small amounts of fetal erythrocytes can cross over to the maternal circulation without causing problems for the fetus. On rare occasions, massive FMH can occur and causes profound fetal and neonatal anemia, which associate with high perinatal morbidity and mortality. Herein, we present a case of massive fetomaternal hemorrhage and a favorable neonatal outcome. The infant was a late preterm male born via an emergency cesarean section due to fetal distress, he had severe anemia, and hypovolemic shock. He was successfully resuscitated and the anemia was adequately corrected through three PRBCs transfusions. Acute massive fetomaternal hemorrhage was diagnosed based on a positive Kleihauer-Betke test on the mother’s blood. The infant had normal growth and normal developmental milestones in the subsequent visits up to the age of 18 months.
Chronic intestinal pseudo-obstruction (CIPO) is a rare and serious disorder of the gastrointestinal tract motility with the primary defect of impaired peristalsis. Symptoms are consistent with a bowel obstruction, although mechanical obstruction cannot be identified. It is a rare differential diagnosis for neonatal intestinal obstruction. Herein we report a case of neonate with non-resolving intestinal pseudo-obstruction, presenting since birth as progressive abdominal distention. The diagnosis was made by exclusion of mechanical causes of intestinal obstruction via thorough imaging studies.
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