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Revista chilena de pediatría

versión impresa ISSN 0370-4106

Resumen

MARTINEZ-CRIADO, Yolanda; MILLAN L, Ana; PAVON D, Antonio  y  DE AGUSTIN A, Juan Carlos. Fulminant necrotizing enterocolitis in a collodion baby: A case report. Rev. chil. pediatr. [online]. 2013, vol.84, n.4, pp.429-433. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41062013000400010.

Introduction: Collodion baby is a rare neonatal ichthyosis. The leathery, hard and yellow skin that covers the body is an ineffective barrier that predisposes to dehydration, heat loss and infections. A better management of these patients has been shown to increase survival, but the comorbidity requires strict and cautious monitoring. Objective: To describe a case of fulminant enterocolitis in a collodion infant in order to help to identify early this pathology. Case report: A 34-week newborn with collodion membrane was admitted to the intensive care unit with severe respiratory distress. The baby was maintained in an incubator with humidity, applying emollients and skin and eye lubrication. Broad-spectrum antibiotic treatment was initiated. The patient presented feeding intolerance on the fifth day of life, developing a fulminant enterocolitis resulting in death. Conclusion: The necrotizing enterocolitis associated with a collodion baby has not been described in the literature, causing a delay in diagnosis and contributing to a fulminant course that can lead to death. Keeping in mind this rare comorbidity may facilitate a timely management.

Palabras clave : Collodion baby; necrotizing enterocolitis; ichthyosis; dehydration.

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