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A newborn twin with unusual chest radiograph

Correspondence to:
Correspondence to:
A V Sridhar
Department of Child Health, Robert Kilpatrick Clinical Sciences Building, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester LE2 7LX, UK; sa135@le.ac.uk

Submitted 15 July 2006
Accepted 7 August 2006

The first 150 words of the full text of this article appear below.

A 7-day-old (term small for gestational age) newborn female, first of a twin delivery, presented to the paediatric admissions unit, with a 2-day history of coryza, cough, shortness of breath and poor feeding. The twins were born at term by normal delivery (twin 1 weighed 1.89 kg and twin 2 2.58 kg) and they did not require any resuscitation at birth. The parents were of Asian origin and were first cousins. The mother had three previous normal deliveries and the children were healthy. The pregnancy had been complicated by gestational diabetes mellitus requiring insulin treatment. There was no other major family history of note.

On examination, the baby had signs of upper respiratory tract infection, tachypnoea, mild respiratory distress, a chest clear on auscultation and normal oxygen saturations in air. Systemic examination was otherwise unremarkable. The baby was admitted for observation and nasogastric feeding, with a diagnosis . . . [Full text of this article]