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- W2064631710 abstract "A 2-day-old term female infant was noted to have lip smacking, eye twitching, and abnormal “jerking” left arm and leg movements. A loading dose of phenobarbital was given, but the episodes progressed to generalized clonic movements associated with apneas and desaturations requiring intermittent bag mask ventilation. A repeat dose of phenobarbital and a loading dose of phenytoin were given.A sepsis workup including complete blood cell count and blood culture was performed. A lumbar puncture was planned but was deferred because of the infant’s acutely deteriorating status.She was started on empiric antibiotics and acyclovir before ventilation for transfer to a tertiary referral hospital for further evaluation and management. Soon after arrival, a confluent erythematous rash presenting in a linear pattern was noted on the legs and lower trunk (Figs 1 and 2).Figure 1. Development of rash at 44 hours after birth.Figure 2. Leg rash presents in a linear pattern.### Prenatal History:### Birth History:Initial examination revealed a nondysmorphic, appropriate-for-gestational-age infant intubated and sedated on a ventilator. Anterior fontanelle noted to be full but soft. On neurological examination, infant was noted to have generalized hypertonia, increased deep tendon reflexes, and bilateral ankle clonus. Rash, as seen in figures, was nonvesicular in nature.Infant continued to have intermittent seizure activity associated with vital sign …" @default.
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- W2064631710 date "2012-05-01" @default.
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- W2064631710 title "Seizure-like Symptoms in a 2-day-old Term Female" @default.
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- W2064631710 doi "https://doi.org/10.1542/neo.13-5-e325" @default.
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