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Previous Volume 351:2319-2326 November 25, 2004 Number 22 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 23-day-old male infant was admitted to this hospital because of difficulty feeding and failure to thrive.

His weight at birth was 2580 g; he was 45 cm long, the product of an uncomplicated, full-term pregnancy, and born by spontaneous vaginal delivery at another hospital to a 23-year-old woman (gravida 2, para 1). An obstetrical ultrasonographic evaluation at 21 weeks' gestation had shown no abnormalities. At delivery, the amniotic fluid was stained with meconium and there was a nuchal cord. Apgar scores were 2 at one minute and 7 at five minutes. He was briefly intubated and suctioned, and continuous . . . [Full Text of this Article]

Differential Diagnosis

Definition and Causes of Failure to Thrive

Prenatal Causes of Failure to Thrive

Postnatal Causes of Failure to Thrive

The Differential Diagnosis in This Case

Pathological Discussion

Discussion of Management

Final Diagnosis

Source Information

From the Departments of Medical Genetics (J.M.S.) and Pediatric Surgery (P.K.D.), Massachusetts General Hospital; the Department of Pathology, Brigham and Women's Hospital (N.T.L.); and the Departments of Pediatrics (J.M.S.), Pathology (N.T.L.), and Surgery (P.K.D.), Harvard Medical School — all in Boston.

This article has been cited by other articles:

• Guttmacher, A. E., Collins, F. S., Carmona, R. H. (2004). The Family History -- More Important Than Ever. NEJM 351: 2333-2336 [Full Text]