Revista médica del Instituto Mexicano del Seguro Social
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Rev Med Inst Mex Seguro Soc · Nov 2008
Comparative Study[Procalcitonin a marker in the diagnostic of the newborn with systemic infection].
Laboratory test used in the diagnosis of neonatal sepsis have a low specificity. Recently, procalcitonin has been proposed as a marker to identify the presence of systemic infections. The objective of the study was to evaluate the sensibility and specificity of procalcitonin as a marker of systemic infection in newborn with a suspicion of neonatal sepsis using a blood culture as a gold standard. ⋯ Positive procalcitonin has a good sensibility and moderate specificity 48 hours after clinical diagnosis of neonatal sepsis.
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In 1958, Cantrell etal. described a rare syndrome in neonates. The description of the syndrome was characterized by a midline supraumbilical defect encompassing a thoracoabdominal omphalocele and ectopia cordis, a defect of the lower sternum, ventral diaphragmatic and pericardial defects, and other congenital cardiac anomalies. ⋯ Early detection of these anomalies is very important for the diagnosis and surgical planning, and subsequently for prognostic implications.