Your Name:  Sakura Hingley

Theme: Neonatal Infections

 

OPTION LIST

 

A

Neonatal Respiratory Tract Infection

I

EBV-related infectious mononucleosis

B

Conjunctivitis caused by a blocked tear duct

J

E.Coli infection

C

Chlamydial conjunctivitis in the newborn

K

Group B Streptococci Syndrome

D

Congenital Rubella Syndrome

L

Neonatal HIV infection

E

Neonatal Meningitis

M

 

F

Neonatal Herpes Simplex Infection

N

 

G

Neonatal Urinary Tract Infection

O

 

H

Congenital Toxoplasmosis

P

 

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1.  At birth, a neonate is diagnosed with sensorineural deafness, retinopathy and cardiovascular abnormalities. The mother suffered from German measles during the 1st trimester of Pregnancy, which was treated with Paracetamol. The mother had not been vaccinated before pregnancy.

 

2.  An infant is diagnosed with pneumonia in her 5th day of life. Vaginal swabs from the mother as well as umbilical and oral swabs from the neonate showed a Gram positive coccus. The infant is given antibiotics and is monitored in hospital for a period of time until respiration and appetite improve.

 

3. A 2 week old infant develops swollen red eyelids. The mother explains that the initial ocular discharge seen at 10 days was watery, but has become copious, thick and purulent.  Mother, father and infant are shown to all be infected with the same bacterium and are treated with penicillin.

 

4. A French mother brings her 2 month old daughter with fever to hospital. The infant is shown to have elevated hepatic enzymes and is treated with pyrimethamine, sulphadiazine and folic acid for a year after appropriate investigations are performed.

 

5. An infant is born prematurely and subsequently has low birth weight. In addition, he has encephalitis and vesicular skin lesions. Despite being recommended to have a caesarean due to active viral lesions, the mother refuses and the neonate was delivered vaginally. Emperic Acyclovir is given to the neonate.

 

 

 

 

 

 

 

 

 

ANSWERS

1.  D

2.  K

3. C

4. H

5. F