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Case Report

Spontaneous Intestinal Perforation (Sip) in Term Newborn, its Possible Association with Toxoplasma Gondii Infection a Case Report

Pius S, Bello M, Ibrahim BA, Dogo H, Ngajiwa U, Wabada S, Ambe JP

Correspondence Address :

Pius Simon
Department of Paediatrics
University of Maiduguri Teaching Hospital
Maiduguri, Nigeria
Tel: +23480-8977-6826
Email: simonpius2000@yahoo.co.uk

Received on: August 03, 2017, Accepted on: September 21, 2017, Published on: September 29, 2017

Citation: Pius S, Bello M, Ibrahim BA, et al. (2017). Spontaneous Intestinal Perforation (Sip) in Term Newborn, its Possible Association with Toxoplasma Gondii Infection a Case Report

Copyright: 2017 Pius S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Spontaneous intestinal perforation (SIP) is common presentation in preterm very low birth weight newborn, but is said to be rare in term newborn which usually is sudden in presentation and rapid progression with poor outcome if not detected in time. The predisposing risk factors are prematurity, post natal steroids, use of indomethacin in Patent ductus arteriosus (PDA) and of recent, others have suggested infection by T. gondii. The main aim of the case report is to highlight the fact that spontaneous intestinal perforation even though rare do occur in term neonate and to remind the clinician to be on watch out for (SIP) because it is often misdiagnosed. It often mimick varied conditions in newborn including neonatal sepsis presenting as ileus. The common presentation is abdominal distension which usually corroborated by abdominal x-ray which shows pneumoperitoneum as evidence of intestinal perforation, usually following commencement of feed in a sick usually preterm very low birth weight newborn. The main stay of treatment in addition to broad spectrum antibiotics is surgery by laparotomy and primary closure of the perforation, even though others have suggested placement of primary peritoneal drainage (PPD).

Keywords: Spontaneous, Intestinal perforation, Toxoplasma gondii pathogen

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