Case #10 - Respiratory Failure in a 7-Month-Old Black Female

Authors: Sabina Ali, MD; Rosa A Vidal, MD; Sheryl Falkos, MDSeries Editors: Rosa A Vidal, MD; Sheryl Falkos, MD


June 23, 2004

Past Medical History

The patient was born at 37 weeks gestational age to a group B Streptococcus-positive mother. The birth weight was 6 pounds, 11 ounces (50th percentile). The infant was hospitalized at 4 months of age for respiratory syncytial virus (RSV) pneumonia and respiratory failure. This hospital course was complicated by Staphylococcus aureus sepsis and a Candida urinary tract infection. The baby lives with her parents and her 4-year-old twin male siblings. The parents stated that although the baby previously had been eating well, she had continued to lose weight despite the use of 27 calories per ounce formula. They denied the occurrence of any episodes of vomiting or diarrhea. According to the parents, neither of the patient's siblings has had any chronic medical problems, previous hospitalizations, or delay in growth. The family denied a history of recent travel out of the country or exposure to sick contacts.


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