tailieunhanh - Báo cáo y học: " Multifocal multi-organ ischaemia and infarction in a preterm baby due to maternal intravenous cocaine use: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Multifocal multi-organ ischaemia and infarction in a preterm baby due to maternal intravenous cocaine use: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Multifocal multi-organ ischaemia and infarction in a preterm baby due to maternal intravenous cocaine use a case report Ben C Reynolds1 Dawn KM Penman2 Allan G Howatson2 Lesley A Jackson1 and Charles H Skeoch1 Addresses 1Neonatal Unit Princess Royal Maternity Hospital Alexandra Parade Glasgow UK 2Department of Paediatric Pathology Royal Hospital for Sick Children Dalnair Street Glasgow UK Email BCR - pinkdoc@ DKMP - AGH - LAJ - CHS - Corresponding author Received 23 September 2008 Accepted 29 May 2009 Published 14 September 2009 Journal of Medical Case Reports 2009 3 9259 doi 1752-1947-3-9259 This article is available from http jmedicalcasereports article view 9259 2009 Reynolds et al. licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Although the adverse effects of cocaine use in pregnancy are well recognised we believe this case highlights the importance of considering the route of administration and suggests the possibility of multifocal damage relating to intravenous use. Case presentation A Caucasian female baby of 29-weeks gestation was spontaneously delivered and subsequently developed multi-organ failure considered unrelated to simple prematurity. Intensive care was re-orientated following the development of massive intraventricular haemorrhage. Conclusion This case illustrates the need for regular cranial ultrasound in babies of pregnancies at risk due to intravenous cocaine use and also the necessity of counselling women who misuse cocaine in the antenatal period. As such .