Skip to main content

Advertising Disclaimer »

Main menu

  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors
    • Author Guidelines
  • Content
    • Current Issue
    • Complete Issue PDF
    • Archive
    • 20th Anniversary Special Edition
    • Topic/Program Collections
    • Blog
    • Questions from NeoReviews
  • CME/MOC
    • CME Quizzes
    • MOC Claiming
    • NeoReviewsPlus
    • Board Review Study Guide
  • Multimedia
    • NeoReviews Video Library
    • Pediatrics On Call Podcast
  • Subscribe
  • Alerts
  • Careers
  • Other Publications
    • American Academy of Pediatrics

User menu

  • Log in
  • My Cart

Search

  • Advanced search
American Academy of Pediatrics

AAP Gateway

Advanced Search

AAP Logo

  • Log in
  • My Cart
  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors
    • Author Guidelines
  • Content
    • Current Issue
    • Complete Issue PDF
    • Archive
    • 20th Anniversary Special Edition
    • Topic/Program Collections
    • Blog
    • Questions from NeoReviews
  • CME/MOC
    • CME Quizzes
    • MOC Claiming
    • NeoReviewsPlus
    • Board Review Study Guide
  • Multimedia
    • NeoReviews Video Library
    • Pediatrics On Call Podcast
  • Subscribe
  • Alerts
  • Careers
American Academy of Pediatrics
Index of Suspicion in the Nursery

Case 3: An Unusual Case of Transient Neonatal Encephalopathy

Vijay Kumar, Rajath Athreya, Sushma Kalyan Achuta and Sahana Sundarraju
NeoReviews August 2019, 20 (8) e472-e474; DOI: https://doi.org/10.1542/neo.20-8-e472
Vijay Kumar
*Department of Neonatology, Rainbow Children's Hospital, Marathahalli, Bengaluru, India
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rajath Athreya
*Department of Neonatology, Rainbow Children's Hospital, Marathahalli, Bengaluru, India
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sushma Kalyan Achuta
*Department of Neonatology, Rainbow Children's Hospital, Marathahalli, Bengaluru, India
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sahana Sundarraju
*Department of Neonatology, Rainbow Children's Hospital, Marathahalli, Bengaluru, India
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • Comments
Loading

This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.

Download PDF

Presentation

A 7-day-old female neonate presents to a local hospital with lethargy, grunting, fast breathing, and abnormal movements after a short history of poor feeding overnight. She was born at 39 weeks’ gestation via cesarean section with a birthweight of 3,100 g to a 34-year-old woman. The parents are nonconsaguineous and the pregnancy was a result of in vitro fertilization with their own gametes. Antenatal screening and scans were normal. Cesarean section was performed because the labor did not progress; the neonate did not need any resuscitation. She nursed with the mother and went home breastfeeding on day 3 after birth. There is no family history of early neonatal deaths or neurologic dysfunction.

The neonate is brought to our tertiary neonatal center after stabilization with fluid bolus, broad-spectrum antibiotics, levetiracetam for suspected seizures, and mechanical ventilation. Initial differential diagnosis includes late-onset sepsis with meningitis and inborn error of metabolism with encephalopathy. Examination shows no dysmorphic features or neurocutaneous markers, and the head circumference is 32.6 cm. The infant is stuporous with paucity of spontaneous movements, depressed neonatal reflexes, and hypotonia. She is well perfused with normal heart sounds and femoral pulses and has no oxygen requirement. There is no pallor or jaundice and there is no organomegaly.

Arterial …

Individual Login

Log in
You will be redirected to aap.org to login or to create your account.

Institutional Login

via Institution

You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.

Log in through your institution

If your organization uses OpenAthens, you can log in using your OpenAthens username and password. To check if your institution is supported, please see this list. Contact your library for more details.

Purchase access

You may purchase access to this article. This will require you to create an account if you don't already have one.

Offer Reprints

PreviousNext
Back to top

Advertising Disclaimer »

In this issue

NeoReviews
Vol. 20, Issue 8
1 Aug 2019
  • Table of Contents
  • Table of Contents (PDF)
  • Index by author
  • Complete Issue (PDF)
View this article with LENS
PreviousNext
Email Article

Thank you for your interest in spreading the word on American Academy of Pediatrics.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Case 3: An Unusual Case of Transient Neonatal Encephalopathy
(Your Name) has sent you a message from American Academy of Pediatrics
(Your Name) thought you would like to see the American Academy of Pediatrics web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Request Permissions
Article Alerts
Log in
You will be redirected to aap.org to login or to create your account.
Or Sign In to Email Alerts with your Email Address
Citation Tools
Case 3: An Unusual Case of Transient Neonatal Encephalopathy
Vijay Kumar, Rajath Athreya, Sushma Kalyan Achuta, Sahana Sundarraju
NeoReviews Aug 2019, 20 (8) e472-e474; DOI: 10.1542/neo.20-8-e472

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Case 3: An Unusual Case of Transient Neonatal Encephalopathy
Vijay Kumar, Rajath Athreya, Sushma Kalyan Achuta, Sahana Sundarraju
NeoReviews Aug 2019, 20 (8) e472-e474; DOI: 10.1542/neo.20-8-e472
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
Print
Download PDF
Insight Alerts
  • Table of Contents

Jump to section

  • Article
    • Presentation
    • Discussion
    • Footnotes
    • References
  • Info & Metrics
  • Comments

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Case 1: A Rare Presentation of Abdominal Distention in a Preterm Newborn
  • Case 3: What's That Smell? The Significance of Infant Body Odors in the Evaluation of Metabolic Acidosis
  • Case 2: Intergluteal Sulcus Flattening in a Newborn
Show more Index of Suspicion in the Nursery

Similar Articles

  • Journal Info
  • Editorial Board
  • Overview
  • Licensing Information
  • Authors/Reviewers
  • Author Guidelines
  • Submit My Manuscript
  • Librarians
  • Institutional Subscriptions
  • Usage Stats
  • Support
  • Contact Us
  • Subscribe
  • Resources
  • Media Kit
  • About
  • NeoReviewsPlus
  • International Access
  • Terms of Use
  • Privacy Statement
  • FAQ
  • AAP.org
  • shopAAP
  • Follow American Academy of Pediatrics on Instagram
  • Visit American Academy of Pediatrics on Facebook
  • Follow American Academy of Pediatrics on Twitter
  • Follow American Academy of Pediatrics on Youtube
  • RSS
  • NeoReviews™ and NeoReviewsPlus™ are supported, in part, through an educational grant from Abbott Nutrition, a division of Abbott Laboratories, Inc.
American Academy of Pediatrics

© 2021 American Academy of Pediatrics