Which exam findings are associated with sepsis in the neonate of a mother with chorioamnionitis?

Updated: May 08, 2018
  • Author: Fayez M Bany-Mohammed, MD; Chief Editor: Ted Rosenkrantz, MD  more...
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Answer

Examination for suspected sepsis in the neonate of a mother with chorioamnionitis often yields nonspecific and subtle findings, which may include the following:

  • Behavioral abnormalities (eg, lethargy, hypotonia, weak cry, poor suck)

  • Pulmonary: Tachypnea, respiratory distress, cyanosis, pulmonary hemorrhage, and/or apnea

  • Cardiovascular: Tachycardia, hypotension, prolonged capillary refill time, cool and clammy skin, pale or mottled appearance, and/or oliguria

  • Gastrointestinal: Abdominal distention, vomiting, diarrhea, and/or bloody stools

  • Central nervous system: Thermal regulatory abnormalities, behavioral abnormalities, apnea, and/or seizures

  • Hematologic and/or hepatic: Pallor, petechiae or purpura, and overt bleeding


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