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February 1981

Hyperglycemia and Escherichia coli Sepsis in a Preterm Neonate

Am J Dis Child. 1981;135(2):186-187. doi:10.1001/archpedi.1981.02130260072026

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Sir.—We read with interest the report in the Journal by James et al (133:645-646, 1979) of two episodes of hyperglycemia associated with Escherichia coli sepsis in a preterm newborn. However, the authors state that theophylline administration might have played a contributing role in the initial hyperglycemic episode. We would like to report our experience with a preterm baby where no medicines, intravenous (IV) solutions, or strong feeds were given before the development of hyperglycemia.

Report of a Case.—This male baby of 33 weeks' gestation and a birth weight of 1,700 g was the firstborn twin of a 19- year-old primigravida healthy mother (the second twin died at birth). There was no prolonged rupture of membranes and no medication or IV dextrose solutions given to the mother. The baby required no resuscitation but he was transferred to the neonatal intensive care unit because of tachypnea at the age of

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