Hypotonia and Lethargy in a Two-Day-Old Male Infant.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 31227563.
- Also identified by DOI 10.1542/peds.2018-0788.
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Abstract
A 2-day old term male infant was found to be hypotonic and minimally reactive during routine nursing care in the newborn nursery. At 40 hours of life, he was hypoglycemic and had intermittent desaturations to 70%. His mother had an unremarkable pregnancy and spontaneous vaginal delivery. The mother's prenatal serology results were negative for infectious risk factors. Apgar scores were 9 at 1 and 5 minutes of life. On day 1 of life, he fed, stooled, and voided well. Our expert panel discusses the differential diagnosis of hypotonia in a neonate, offers diagnostic and management recommendations, and discusses the final diagnosis.
Medical subject headings
- Acyl-CoA Dehydrogenase, Long-Chain
- Congenital Bone Marrow Failure Syndromes
- Lethargy
- Lipid Metabolism, Inborn Errors
- Mitochondrial Diseases
- Muscle Hypotonia
- Muscular Diseases