Enterocolite necrotizante grave em recém-nascido a termo: relato de caso
Necrotizing enterocolitis (NEC) is an important cause of mortality in the neonatal intensive care unit, and a rare finding in term neonates. We report a case of NEC in a 15 day old term neonate who presented to urgency care with fever and abdominal distension. He had a severe course of illness with...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Pediatria
2023-09-01
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| Series: | Residência Pediátrica |
| Subjects: | |
| Online Access: | https://residenciapediatrica.com.br/detalhes/1418/enterocolite%20necrotizante%20grave%20em%20recem-nascido%20a%20termo-%20relato%20de%20caso |
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| author | Julia Miranda Menezes Leonardo Van De Wiel Barros Urbano Andari Manuela Maria Insuellos Besen Graziela de Araujo Costa Tadeu Silveira Martins Renattini Viviane Mauro Corrêa Meyer |
| author_facet | Julia Miranda Menezes Leonardo Van De Wiel Barros Urbano Andari Manuela Maria Insuellos Besen Graziela de Araujo Costa Tadeu Silveira Martins Renattini Viviane Mauro Corrêa Meyer |
| author_sort | Julia Miranda Menezes |
| collection | DOAJ |
| description | Necrotizing enterocolitis (NEC) is an important cause of mortality in the neonatal intensive care unit, and a rare finding in term neonates. We report a case of NEC in a 15 day old term neonate who presented to urgency care with fever and abdominal distension. He had a severe course of illness with pneumoperitoneum and hemodynamic instability and required surgical intervention with extensive intestinal resection. This case is particular due to the absence of classical risk factors for NEC (congenital cardiopathy, perinatal hypoxia, cow milk protein allergy) and to the more severe clinical presentation than most cases of NEC in term patients. Furthermore, the late start of symptoms and small intestine necrosis rather than colonic were unusual. NEC diagnosis is a challenge in term neonates due to the unspecific signs and symptoms it can present and its low prevalence in this group. |
| first_indexed | 2024-03-09T14:35:03Z |
| format | Article |
| id | doaj.art-cd8a0e48dbc143a9b29e856d449a59c9 |
| institution | Directory Open Access Journal |
| issn | 2236-6814 |
| language | English |
| last_indexed | 2024-03-09T14:35:03Z |
| publishDate | 2023-09-01 |
| publisher | Sociedade Brasileira de Pediatria |
| record_format | Article |
| series | Residência Pediátrica |
| spelling | doaj.art-cd8a0e48dbc143a9b29e856d449a59c92023-11-27T13:53:32ZengSociedade Brasileira de PediatriaResidência Pediátrica2236-68142023-09-0113310.25060/residpediatr-2023.v13n3-665Enterocolite necrotizante grave em recém-nascido a termo: relato de casoJulia Miranda Menezes0Leonardo Van De Wiel Barros Urbano Andari1Manuela Maria Insuellos Besen2Graziela de Araujo Costa3Tadeu Silveira Martins Renattini4Viviane Mauro Corrêa Meyer5Faculdade Israelita de Ciências da Saúde Albert Einstein, Faculdade de Medicina - São Paulo - São Paulo - BrasilFaculdade Israelita de Ciências da Saúde Albert Einstein, Faculdade de Medicina - São Paulo - São Paulo - BrasilFaculdade Israelita de Ciências da Saúde Albert Einstein, Faculdade de Medicina - São Paulo - São Paulo - BrasilFaculdade Israelita de Ciências da Saúde Albert Einstein, Faculdade de Medicina - São Paulo - São Paulo - BrasilFaculdade Israelita de Ciências da Saúde Albert Einstein, Faculdade de Medicina - São Paulo - São Paulo - BrasilFaculdade Israelita de Ciências da Saúde Albert Einstein, Faculdade de Medicina - São Paulo - São Paulo - BrasilNecrotizing enterocolitis (NEC) is an important cause of mortality in the neonatal intensive care unit, and a rare finding in term neonates. We report a case of NEC in a 15 day old term neonate who presented to urgency care with fever and abdominal distension. He had a severe course of illness with pneumoperitoneum and hemodynamic instability and required surgical intervention with extensive intestinal resection. This case is particular due to the absence of classical risk factors for NEC (congenital cardiopathy, perinatal hypoxia, cow milk protein allergy) and to the more severe clinical presentation than most cases of NEC in term patients. Furthermore, the late start of symptoms and small intestine necrosis rather than colonic were unusual. NEC diagnosis is a challenge in term neonates due to the unspecific signs and symptoms it can present and its low prevalence in this group.https://residenciapediatrica.com.br/detalhes/1418/enterocolite%20necrotizante%20grave%20em%20recem-nascido%20a%20termo-%20relato%20de%20casoenterocolitisnecrotizinginfant newborn diseasesterm birthcase reports |
| spellingShingle | Julia Miranda Menezes Leonardo Van De Wiel Barros Urbano Andari Manuela Maria Insuellos Besen Graziela de Araujo Costa Tadeu Silveira Martins Renattini Viviane Mauro Corrêa Meyer Enterocolite necrotizante grave em recém-nascido a termo: relato de caso Residência Pediátrica enterocolitis necrotizing infant newborn diseases term birth case reports |
| title | Enterocolite necrotizante grave em recém-nascido a termo: relato de caso |
| title_full | Enterocolite necrotizante grave em recém-nascido a termo: relato de caso |
| title_fullStr | Enterocolite necrotizante grave em recém-nascido a termo: relato de caso |
| title_full_unstemmed | Enterocolite necrotizante grave em recém-nascido a termo: relato de caso |
| title_short | Enterocolite necrotizante grave em recém-nascido a termo: relato de caso |
| title_sort | enterocolite necrotizante grave em recem nascido a termo relato de caso |
| topic | enterocolitis necrotizing infant newborn diseases term birth case reports |
| url | https://residenciapediatrica.com.br/detalhes/1418/enterocolite%20necrotizante%20grave%20em%20recem-nascido%20a%20termo-%20relato%20de%20caso |
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