Case 2: Respiratory Failure and Multiple Organ System Dysfunction in a 7-day-old Infant

摘要

A 7-day-old boy is referred to the emergency department by his pediatrician for increased work of breathing. He was born at 39 weeks' gestation by spontaneous vaginal delivery with prolonged rupture of membranes. His newborn nursery stay was uncomplicated, and the results of his congenital heart screen were normal. His mother reports difficulties with breastfeeding due to poor latch, for which he has been receiving supplemental formula. She also reports increased fussiness and "brownish-red spots" in his diapers. There is no cyanosis or choking during feeds. There is no history of fever, vomiting, diarrhea, rashes, cough, sick contacts, or decreased urine output.