2019 Month : September Volume : 6 Issue : 38 Page : 2606-2607
Kireeti A. S.1, Brahmanandam Lingudu2, Prasoona Devireddy3, Aruna Cheni Maruti4, Grace Esther Gangaraju5
Dr. Brahmanandam L,
D. No. 31-30-40, Narayana Street,
Daba Gardens, Visakhapatnam- 530020,
PRESENTATION OF CASE
23-day-old male neonate presented to Neonatal Intensive Care Unit (NICU) of the Department of Paediatrics, Sri Venkateswara Medical College, Government General Hospital, Tirupati with fever, refusal of feeds of 3 days duration and tachypnoea. The baby was born to a 22-year-old multigravida mother, second birth order and delivered at 38 weeks gestational age through normal vaginal delivery by vertex presentation. Antenatally mother had fever with chills intermittently throughout gestation but she did not take any treatment. No antenatal history suggestive of TORCH (toxoplasmosis, rubella, cytomegalovirus, herpes simplex virus) infection or premature rupture of membranes. On examination, baby was pale, grade 3 splenomegaly of Hackett classification, oxygen saturation (SpO2) was 96% in room air and rest of the systemic examination was normal. Figure 1 shows newborn with splenomegaly. Based on clinical presentation, provisionally diagnosed as late onset septicaemia and started on empirical intravenous antibiotics cefotaxime and amikacin and maintenance intravenous fluids. Blood culture was negative.