1. Gastrointestinal presentation of relative adrenal insufficiency in a sick preterm neonate.
- Author
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Lavoie PM, Pelligra G, Lupton B, and Osiovich H
- Subjects
- Adrenal Insufficiency complications, Bacteremia drug therapy, Diagnosis, Differential, Diseases in Twins, Escherichia coli Infections drug therapy, Humans, Infant, Newborn, Infant, Premature, Infant, Premature, Diseases drug therapy, Infant, Very Low Birth Weight, Male, Adrenal Insufficiency diagnosis, Enterocolitis, Necrotizing diagnosis, Glucocorticoids therapeutic use, Hydrocortisone therapeutic use, Ileus etiology, Infant, Premature, Diseases diagnosis
- Abstract
We report a sick preterm neonate with a dramatic ileus presentation mimicking necrotizing enterocolitis that promptly reversed upon hydrocortisone supplementation. Because our case illustrates a previously unsuspected clinical visage of inadequate adrenal responses in sick preterm neonates, it also emphasizes the need for improved diagnostic algorithms to identify neonates who could potentially benefit from treatment while avoiding the morbid consequences of unwarranted corticosteroids use in this population.
- Published
- 2007
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