A 5-day-old boy was transferred for evaluation of tachypnea and irritability. The child was delivered by cesarean section at 38 weeks' gestation to a 26-year-old woman. He weighed 3118 g at birth and had an Apgar score of 8/9 at 1 and 5 minutes.
The neonate ate normally and appeared healthy until the third day of life, when he became irritable. During the next 24 hours, he developed respiratory distress. Blood cultures, a lumbar puncture, and suprapubic bladder aspiration were performed. Because of a presumed diagnosis of sepsis, treatment was started with ampicillin sodium and gentamicin sulfate.
Chattoraj MR, Barson W, McClead RE. Radiological Cases of the MonthCase 1. Arch Pediatr Adolesc Med. 1994;148(12):1305–1306. doi:10.1001/archpedi.1994.02170120067010