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Arch Dis Child Fetal Neonatal Ed 1999;81:F77 doi:10.1136/fn.81.1.F77b
  • Letters to the editor

Neonatal diabetes and severe intracerebral haemorrhage

  1. SHABIH MANZAR
  1. Division of Neonatology
  2. Department of Child Health
  3. Sultan Qaboos University Hospital
  4. POBox 38
  5. 123 Al-Khoud
  6. Muscat
  7. Sultanate of Oman
  8. Email: shabihman@hotmail.com

      Editor—A 20 day old baby boy was referred to our hospital with a history of right sided facial palsy, nystagmus, and seizures. He had been born by normal vaginal delivery, at 36 weeks of gestation, with good Apgar score (8 and 9 at five minutes, respectively). He had jaundice, for which he required phototherapy for four days at the referring hospital, but was otherwise normal.

      Ten days after discharge he presented again with a history of poor feeding and lethargy for one day. On examination, he looked pale with a full and tense anterior fontanelle. He was febrile and tachypnoeic. A presumptive diagnosis of sepsis/meningitis was made and he was given cefotaxime and ampicillin. Spinal …

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