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November 1969

Radiological Case of the Month

Author Affiliations

Los Angeles; Durham, NC
From the departments of radiology (Dr. Baylin) and pathology (Dr. Bradford), Duke University Medical Center, Durham, NC.

Am J Dis Child. 1969;118(5):767-768. doi:10.1001/archpedi.1969.02100040769015

CLINICAL HISTORY.—This female infant, weighing 3,799 gm (8 lb 6 ounces), was the product of a 25-year-old mother whose pregnancy and delivery were uncomplicated. Breathing time and crying time were immediate, and the infant was well until 2 days of age, when she became jaundiced. Total serum bilirubin was 17.2 mg/100 ml. Blood types of mother and infant were A positive, and the patient was Coombs' negative. The infant was admitted to this medical center at age 6 days because of lethargy and poor feeding.

On physical examination, the child was mildly jaundiced and markedly hypotonic. Laboratory studies revealed the following results: temperature, 99.5 F (37.5 C); pulse rate, 110 beats per minute; respiratory rate, 30 breaths per minute; weight, 3.94 kg (9 lb) (50th percentile); and length, 50 cm (7 inches). Deep tendon reflexes and Moro responses were absent. Rooting and sucking responses were poor. Laboratory data also

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