Challenge: The parents of this newborn (12 hours old) ask why the toes are so blue. The child was born at 36 weeks by a normal spontaneous vaginal delivery, but the mother had a prolonged rupture of membranes and is GBS positive.
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Acquired Streptococcus Group B infection causing respiratory distress syndrome
ReplyDeleteGBS was a red herring
ReplyDelete-
Toes
Acrocyanosis refers to cyanosis around the mouth and extremities and is very common in newborns after birth and may persist for 24-48 hours.
Sources: UpToDate; newborns.stanford.edu.