RESUMEN
The case is reported of a dizygotic twin infant of a diabetic mother with transient hypertrophic cardiomyopathy. The clinical course and eco-ecg reports are described. The etiopathogenesis is discussed since no evidence of cardiomyopathy was found in the second twin. The importance of a timely diagnosis for a correct therapy is emphasized.
Asunto(s)
Cardiomiopatía Hipertrófica/congénito , Enfermedades en Gemelos , Embarazo en Diabéticas , Cardiomiopatía Hipertrófica/diagnóstico por imagen , Cardiomiopatía Hipertrófica/fisiopatología , Electrocardiografía , Femenino , Humanos , Recién Nacido , Embarazo , Gemelos Dicigóticos , UltrasonografíaRESUMEN
Three cases of neonatal adrenal hemorrhage are described. They presented different clinical findings. Ultrasonography was the investigation of choice. It showed different initial patterns: anechoic in one case, hyperechoic in the others. The literature is reviewed. Usefulness of echography in the diagnosis of adrenal hemorrhage is stressed.
Asunto(s)
Enfermedades de las Glándulas Suprarrenales/diagnóstico por imagen , Hemorragia/diagnóstico por imagen , Diagnóstico Diferencial , Humanos , Recién Nacido , Recien Nacido Prematuro , Enfermedades del Prematuro/diagnóstico por imagen , Masculino , UltrasonografíaRESUMEN
In a retrospective study on heart murmurs in healthy newborns we reviewed data concerning all newborns admitted in our nursery in the year 1990 (1387 newborns: male 699, female 688). An heart murmur was recorded in 106 (7.6%); in 32 of these (30%) the murmur was still audible at discharge; in 18 cases (17%) a congenital heart defect was diagnosed. Our data suggest that time of onset and intensity are valuable data for diagnostic approach, as murmurs recorded after the first day of life, and/or of intensity of 2/6 or more, are more likely to be expression of a congenital heart disease and should be further evaluated.
Asunto(s)
Cardiopatías Congénitas/diagnóstico , Soplos Cardíacos , Factores de Edad , Estudios de Cohortes , Diagnóstico Diferencial , Femenino , Cardiopatías Congénitas/epidemiología , Humanos , Recién Nacido , Masculino , Casas Cuna , PronósticoRESUMEN
As the frequency of Rh isoimmunization is declining, nonimmune fetal hydrops is becoming the predominant form of hydrops. Authors report a case of hydrops secondary to congenital heart disease and briefly discuss the physiopathology of such condition.
Asunto(s)
Cardiopatías Congénitas/complicaciones , Hidropesía Fetal/etiología , Cardiopatías Congénitas/diagnóstico , Cardiopatías Congénitas/fisiopatología , Humanos , Hidropesía Fetal/diagnóstico , Hidropesía Fetal/fisiopatología , Recién Nacido , MasculinoRESUMEN
A case of congenital cytomegalovirus infection is reported and its clinical and diagnostic problems are considered. Perinatal and intrauterine transmission of CMV is discussed.