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Your Diagnosis Please: Fever and Rash in Mother and Baby

Journal 2015 Vol.16 No.1
Ruth Faye Sengson MD, Ramsey James Barro MD, Brian Tiopengco, MD
B.S. was born live, full-term male, appropriate for gestational age, to a 40 year-old G2P2 (2002) mother via emergency repeat cesarean section CS). His APGAR score was 8 and 9 at 1 and 5 minutes. His mother had an unremarkable course of pregnancy with regular pre-natal checkups. She had no history of hypertension, diabetes, asthma, thyroid disease, and no exposure to smoke, alcohol or x-ray.

However, one day prior to delivery, his mother developed intermittent low to moderate grade fever (T: 37.6-38C) with accompanying maculopapular rashes over the trunk and abdominal area. There were no joint pains or body malaise. This progressed and persisted until a day adterm hence, emergency CS was done. Mother was discharged 48 hours after delivery afebrile but still with maculopapular rashes on the trunk and abdominal area.

Due to maternal fever, B.S. was admitted and worked up for possible early-onset neonatal sepsis. On his first hour of life, blood culture and sensitivity were done and he was started on Ampicilllin and Cefotaximine. His CBC revealed Leukocytosis of 25.36 with predominance of neutrophils (67) and platelet count of 246 (Table 1). He remained to have stable vital signs, thermoregulated, active and with good suck.


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EDITOR-IN-CHIEF:
Cecilia Maramba-Lazarte, MD, MScID

ASSOCIATE EDITORS:
Nancy Bermal, MD
Arlene Dy-Co, MD

EDITORIAL BOARD:
Gyneth Bibera, MD
Mary Anne Bunyi, MD
Elizabeth Gallardo, MD
Jonathan Lim, MD
Xenia Cathrine Fabay , MD
Fatima Jimenez , MD
Nanette Cuady-Madrid, MD
Carmina Arriola, MD
Arlene S. Dy-Co, MD
Maria Estrella Balao-Litam, MD, MBA-H
Belle Ranile, MD
Xenia Catherine J. Fabay, MD

JOURNAL MANAGER:
Rea Uy-Epistola