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Acute neonatal respiratory failure and Chlamydia trachomatis
  1. E Herieka1,
  2. J Dhar2
  1. 1Department of Genitourinary Medicine, Leicester Royal Infirmary
  2. 2Department of Genitourinary Medicine, Derbyshire Royal Infirmary
  1. E Herieka, Department of GUM, Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, UK bherieka{at}uhl.trent.nhs.uk

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Case report: cobblestone

Neonatal infection with Chlamydia trachomatis is not an uncommon problem. However, severe infection leading to respiratory failure is a rare complication, and it has only been described in very preterm babies. We describe a case of respiratory failure needing ventilation following chlamydial infection in a neonate of 36 weeks' gestation.Sex Transm Inf 2001;77:135–136

Case report

A 2 weeks old male neonate, born following vaginal breech delivery at 36 weeks' gestation with a birth weight of 2.13 kg, was admitted with history of apnoeal attacks and blue discoloration of the face and lips. In his short history he had a previous hospital admission when he was 3 days old for physiological jaundice which needed phototherapy. His parents had been in a steady relationship for the previous 6 years.

Clinical examination on the paediatric assessment unit revealed a generally …

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