Akutes Abdomen und Hyperleukozytose bei einem 9Wochen alten Frühgeborenen: Nur eine nekrotisierende Enterocolitis?

Fatal Pertussis in a Preterm with Hyperleukocytosis and Necrotizing Enterocolitis: Considerations on Pathogenesis and Prevention

“…Whenever a late preterm or term infant or an infant beyond the neonatal period develops NEC predisposing disorders must be taken into account [ 7 ] . We describe a preterm infant born after 32 weeks of gestation who developed NEC with fatal septic shock at the age of 9 postnatal weeks most probably caused by an infection with Bordetella pertussis , as recently presented [ 1 ] . Although the observed manifestation of pertussis is defi nitely out of the ordinary, the fatal course highlights the necessity of eff ective preventive measures against the infection in young infants.…”

“…Case report [ 1 ] ▼ A 9-weeks-old infant girl was admitted to hospital with fever up to 40 ° C and clinical signs of lower respiratory tract infection. The infant had been born after 32 weeks of gestation with a birth weight of 1 250 g by caesarian section because of fetal bradycardia.…”