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Special Feature
November 2000

Radiological Case of the Month

Author Affiliations

From the Departments of Pediatrics, Radiology and Otorhinolaryngology, Michigan State University, Kalamazoo Center for Medical Studies, Kalamazoo.



Arch Pediatr Adolesc Med. 2000;154(11):1167. doi:10.1001/archpedi.154.11.1167

AN INFANT was born by spontaneous vaginal delivery after an uneventful pregnancy. Maternal serology screening was nonreactive for syphilis, negative for hepatitis B surface antigen, and showed immunity for rubella. Maternal rectovaginal culture grew group B streptococcus, and the mother received 2 doses of antibiotics before delivery. Labor and delivery were uncomplicated, and his birth weight was 3.5 kg. Apgar scores were 8 and 9 at 1 and 5 minutes, respectively. Initial vital signs and physical examination findings were normal. With the first bottle feeding, he regurgitated all the formula through his nostrils. Despite suctioning of the nasopharynx, his airway remained congested, and he had difficulty clearing nasal secretions. Sterile water feeding was attempted, but instant reflux of water occurred through the nostrils.