Author: Kim, Danbi; Shin, Ju Ae; Han, Seung Beom; Chung, Nack-Gyun; Jeong, Dae Chul
Title: Pneumocystis jirovecii pneumonia as an initial manifestation of hyper-IgM syndrome in an infant: A case report Document date: 2019_2_15
ID: 1wptx49j_3
Snippet: A 5-month-old male infant presented with cyanosis. His mother was diagnosed with rheumatoid arthritis 16 months before his birth. Pregnancy was identified at the gestational age of 2 months, and medical therapy for rheumatoid arthritis had been discontinued since then. The mother experienced improvement in symptoms of rheumatoid arthritis without medication, and the patient was born via Caesarean section at the gestational age of 39 +6 weeks with.....
Document: A 5-month-old male infant presented with cyanosis. His mother was diagnosed with rheumatoid arthritis 16 months before his birth. Pregnancy was identified at the gestational age of 2 months, and medical therapy for rheumatoid arthritis had been discontinued since then. The mother experienced improvement in symptoms of rheumatoid arthritis without medication, and the patient was born via Caesarean section at the gestational age of 39 +6 weeks with a birth weight of 4.49 kg. He exhibited no medical problems at or after birth. Two weeks prior, fever, vomiting, and diarrhea developed, and he was treated for acute gastroenteritis at a primary clinic. However, he visited the emergency room and pediatric outpatient clinic of our hospital with persisting vomiting and diarrhea 9 and 6 days before, respectively. His vomiting and diarrhea had continued since then, and moreover, peripheral and central cyanosis accompanied. On admission, he was afebrile and exhibited no respiratory symptoms including cough, rhinorrhea, and sputum. Pulse oxymetry showed SpO 2 of 45% in room air, which rose to 95% with oxygen supplied at 4 L/min.
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