Case 12-2008: A Newborn Infant with Intermittent Apnea and Seizures

A 1-day-old female infant was admitted to the neonatal intensive care unit because of intermittent apnea and cyanosis. She was delivered by cesarean section after a 44-hour labor, 17 hours after rupture of membranes. On the second day of life, multiple episodes of apnea occurred. A 24-hour electroencephalogram showed evidence of seizure activity. A 1-day-old female infant had intermittent apnea and cyanosis. She was delivered by cesarean section after a 44-hour labor, 17 hours after rupture of membranes. A 24-hour electroencephalogram showed evidence of seizure activity. Presentation of Case A 1-day-old female infant was admitted to the neonatal intensive care unit of this hospital because of intermittent apnea and cyanosis. The day before admission, the patient was born at another hospital at 41 weeks 4 days' gestation to a 33-year-old primigravid mother. After 44 hours of labor, during which the amniotic membranes were artificially ruptured (17 hours before delivery) and the mother's temperature rose to 38.0°C, with a white-cell count of 26,700 per cubic millimeter, a cesarean section was performed because of failure of labor to progress. The infant weighed 4176 g (90th percentile) at birth, . . .