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PUZZLER
Hypothermia and emesis in a newborn


Mike T Wei, BS, MS4; Nistana A Spigland, MD; Cori M Green, MD, MS

THE CASE

Credit: Author supplied

The patient, a 7-day-old, small-for-gestational-age (SGA) female (birth weight, 2.21 kg), born by vaginal delivery at 37 weeks to a G1P0 mother, presented to the pediatric emergency department (ED) for hypothermia and emesis at the recommendation of her pediatrician. The neonate’s delivery was complicated by maternal and newborn fever, and she received antibiotics for 48 hours. Ultimately, her blood cultures were negative. Otherwise, she did well in the nursery and was discharged at 2 days of age.

WHAT’S THE DIAGNOSIS?

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