پنوموني بينابيني دسكواماتيو در يك نوزاد دوازده روزه همراه با سپتي سمي استافيلوكوك اپيدرميديس : گزارش موردي

DESQUAMATIVE INTERSTITIAL PNEUMONIA IN A TWELVE DAY-OLD NEONATE IN COINCIDENCE WITH STAPHYLOCOCCUS EPIDERMIDIS SEPTICEMIA: A CASE REPORT

A normal twelve day old newborn with normal gestational period was admitted because of respiratory problems, agitation and vomiting. The patient was diagnosed to have septicemic and was kept under antibiotic therapy. In blood culture, and also culture of umblical cord and various secretions,staphylococcus epidermidis was isolated. Despite the therapeutic management, the condition of the neonate aggravated, and expired after 14 days hospitalization due to respiratory failure. Following autopsy and taking a sample from the lung, the pathologic diagnosis was desquamative interstitial pneumonia. This type of pneumonia is relatively rare in childhood and in neonatal period. Only a few cases suspicious for DIP have been reported in literature. Schroeder has reported 5 cases of interstitial pneumonia which resembled none of the classifications made before. As the definite diagnosis is based on the open biopsy, it is possible that the reported rarity of the diseases may be due to failure of its diagnosis. So it is suggested that as soon as the suspicious signs are seen in the neonates, more attention should be paid to proper management.