A CASE OF FAVORABLE OUTCOME OF CONGENITAL PNEUMONIA IN A PREMATURE INFANT EXTREMELY LOW BODY WEIGHT
Relevance: Every year in the world about 15 million newborns are born prematurely, on average it is every tenth child. Currently, many countries are taking steps to reduce mortality among premature infants. For example, in the register of the University of Iowa USA, a boy born in a Tokyo maternity hospital with a record low weight – 268 g – this Japanese newborn is officially registered as an infant born with the smallest weight in the world, who managed to survive. The previous record belonged to a boy fr om Germany, who was born in 2009 – his weight was 274 grams. The world's smallest girl weighing 252 grams was also born in Germany. In the entire history of modern medicine, 23 cases have been registered when newborns weighing less than 300 g managed to survive, and 19 of them were girls, four were boys. The case we describe is unique in that a newborn weighing 470 grams with congenital pneumonia followed by a successful outcome. [24]. Objective: To present clinical manifestations of changes in laboratory parameters and possible outcomes of congenital pneumonia in premature newborns. Materials and methods: retrospective analysis. This clinical case is described based on the medical history of a patient with extremely low body weight. The characteristic changes in clinical and laboratory parameters are described, in a girl with a diagnosis of Congenital pneumonia, severe severity. Respiratory distress syndrome, severe severity. The gestational age is 25 weeks and 5 days. Conclusion: A premature newborn with an extremely low body weight (470 grams) was in a Perinatal center, wh ere he received specialized assistance in treatment and nursing for 124 days. Despite the deep immaturity and prematurity, this case has a favorable outcome. The surviving premature newborn had the development of bronchopulmonary dysplasia (BPD), anemia, which in the future these conditions affect the quality of life of the child. In dynamics, the child was discharged home in satisfactory condition, with a weight of 2003. The registered postconceptual age is 41 weeks 6 days. In modern medicine, this unique case can be indicative in terms of further more detailed study of congenital pneumonia in premature infants with extremely low body weight and interest students of medical universities, practicing neonatologists – resuscitators. And for doctors of related specialties.
Gulnar B. Taiorazova1, https://orcid.org/0000-0002-8450-9204 Aliya R. Alimbaeva1, https://orcid.org/0000-0002-5082-4636 Sayat Z. Tanatarov1, https://orcid.org/0000-0001-8958-8768 Zhanargul K. Smailova1, https://orcid.org/0000-0002-4513-4614 Yuri F. Lobanov2, https://orcid.org/0000-0001-6284-1604 1 NJSC Semey Medical University, Semey, Republic of Kazakhstan; 2 Altai State Medical University, Barnaul, Russian Federation.
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Taiorazova G.B., Alimbaeva A.R., Tanatarov S.Z., Smailova Zh.K., Lobanov Yu.F. A case of favorable outcome of congenital pneumonia in a premature infant extremely low body weight // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 2, pp. 225-232. doi 10.34689/SH.2022.24.2.028