“…Th e common thread among all the organs involved in DiGeorge anomaly is that their development depends on migration of neural crest cells to the region of pharyngeal pouches. Clinical features of this syndrome are: congenital cardiac defects, congenital immunodefi ciency secondary to aplasia or hypoplasia of the thymus, and hypocalcaemia due to small or absent parathyroid glands, cognitive, behavioral, and psychiatric problems and increased susceptibility to infections (3,4). One of the most widely cited article estimated that prevalence rate for DiGeorge syndrome is approximately 1 in 4,000 live births (5,6 A seven days old male newborn was admitted in local hospital in a state of circulatory shock, cardio respiratory decompensated, in severe metabolic acidosis.…”