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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 338:1752-1758 June 11, 1998 Number 24
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Case 18-1998— A 54-Day-Old Premature Girl with Respiratory Distress and Persistent Pulmonary Infiltrates
Fred S. Rosen, and Atul K. Bhan

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Presentation of Case

A 54-day-old girl was admitted to the hospital because of recurrent respiratory distress and failure to gain weight.

She had been born to a 38-year-old woman (gravida 2, para 0) who had group B, Rh-positive blood. The mother was immune to rubella and had a negative serologic test for syphilis. Because her obstetrician had concluded that her vaginal mucus was lethal to her husband's sperm, he had administered clomiphene and inserted sperm directly into the uterus. Conception occurred on the fourth attempt. The pregnancy was complicated by the mother's smoking (less than one pack of cigarettes per day) and by . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Fred S. Rosen's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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