[Acute gastric distension due to sepsis in a newborn infant].
The acute distention of stomach in the newborn is conditional by metabolic alterations like hypocalcemia or by septic states. We present the case of a newborn with antecedents of membrane rupture for 12 hours obtained by cesarean procedure, of 38 weeks by Capurro, score without perinatal asphyxia and 3320 g of birth weight, which evolutioned with respiratory distress and its first exams showed leukopenia, low platelet count and the cerebrospinal fluid showed 390 cells with polymorphonuclear predominium considering the diagnosis of neonatal sepsis and meningitis. At the second day he presented abdominal distention secondary to gastric camera dilatation, were made a laparotomy to descart congenital obstruction and only found gastric distention. In all newborn with acute gastric distention its important for first instance descart congenital intestinal obstruction and is on sidered this entity by exclusion. We recommend in this patients sepsis worshop. The treatment is drainage by orogastric tube and antibiotics. The prognosis is good once upon treating the basic problem.
Departamento de Pediatría, Hospital Universitario Dr. José Eleuterio González, Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, México.
N
N
Cisneros-García
I
I
Rodríguez-Balderrama
E
E
Morales-Velázquez
R
R
Rodríguez-Bonito
S R
SR
Tamez-Pérez
M
M
Zarate-Gómez
D000208:Acute Disease; D002954:Citrobacter; D003937:Diagnosis, Differential; D004108:Dilatation, Pathologic / Q000175:diagnosis / Q000209:etiology; D004756:Enterobacteriaceae Infections / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D013272:Stomach Diseases / Q000175:diagnosis / Q000209:etiology*
Distensión gástrica aguda por sepsis en un recién nacido.