Introduction: Advances in modern neonatology have improved survival of extremely premature and extremely low birth weight babies. Increased noise level is proven to be harmful to preterm babies and term ill babies in various ways. Determinants and baseline noise level should be assessed before necessary intervention.Objective: To assess the determinants of noise level at a level III neonatal intensive care unit (NICU) at the Castle Street Hospital for Women (CSHW), Sri Lanka.
Otocephaly is characterized by aplasia or hypoplasia of mandible, a small oral fissure and low lying ears at the level of neck usually meeting in the midline. This is due to the failure of migration of the ventral part of the first brachial arch. This rare lethal non familial condition occurs in 1 in 70,000 births. This is the first reported case of otocephaly in Sri Lanka as per our best knowledge, a baby girl born to non-consanguineous parents, who was unable to survive a long time after birth. This case is being reported because of its rarity.
Keywords: Agnathia; Antenatal diagnosis; Otocephaly
Case ReportA 38 year old mother of two admitted on her 5th pregnancy to Castle Street Hospital for Women, Colombo, Sri Lanka for the assessment of blood sugar series at gestational age of 29+2 weeks. Father is 40 year old and there is no consanguinity. The outcome of her first pregnancy was 2nd trimester miscarriage and other three pregnancies were ended up in spontaneous premature birth at 26th, 30th and 33th week of gestation respectively. Her second baby died on 2nd day of life due to sepsis and there were no gross abnormalities detected. Other two children are healthy at their age of 9 and 4, respectively. This was a spontaneous conception, there was no exposure to teratogens or infection during the pregnancy and she didn't use any hormonal contraception. Dating scan was done and cervical cerclage was put at 14th week of gestation. She developed gestational diabetes mellitus at 21st week of gestation and since then on diabetic diet with good control of blood sugar. Polyhydramnios was noted on ultrasound scan at 24th week of gestation.
The human cytomegalovirus (CMV) is universally distributed among human populations as one of the most common cause of congenital infection and it is a diagnostic dilemma for clinicians owning its wide range of clinical presentations. Fetal infection results from transmission of the virus across the placenta and is particularly common in women who experience primary infection during pregnancy. Here we report a newborn with congenital CMV infection with diagnostic challenge.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.