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Biomedical subjects

B Delaporte

Publications and source records attributed to B Delaporte.

At least 19 recordsLinked to original sources

Early echographic findings in non-hemorrhagic periventricular leukomalacia of the premature infant.

The ultrasonic detection of periventricular leukomalacia is described in two neonatal patients. Confirmation of this condition by CT and post mortem was obtained in one case. CT scan and further echography was positive in the other. Neither patient had evidence of an intracranial hemorrhage. It is suggested that echography is of value in the early diagnosis of this lesion which may be similar to intraparenchymal hemorrhage in its mechanism and prognosis.

Brain Diseases↗

[Preventive treatment of jaundice in premature newborn infants with clofibrate. Double-blind controlled therapeutic trial].

A double blind therapeutic trial of ethyl clofibrate as a preventive treatment of hyperbilirubinemia in preterm neonates was performed in neonates of gestational ages ranging between 31 and 36 weeks. Forty-six children were given the treatment and 43 a placebo. A single 100 mg/kg dose of ethyl clofibrate was administered orally, between the 24th and the 48th hour of life. Significant results in the treated neonates are as follows: a lesser intensity of jaundice from the 48th hour of treatment; a lesser need for repeated bilirubinemia assay for the control of evolution and a lesser use of phototherapy if the serum concentration of clofibric acid is above or equal to the 140 micrograms therapeutic level before the 24th hour of treatment. The analysis of results also shows that the therapeutic clofibric acid serum level is reduced in 66% of neonates of relatively high gestational ages (34-36 weeks) and in 33% only of neonates of lower gestational ages (31-33 weeks). This study, added to the previous therapeutic trial performed in at term neonates, shows the efficacy of clofibrate in the preventive treatment of hyperbilirubinemia in preterm neonates. Further studies will allow to define the exact dosage according to gestational age.

Bilirubin↗

[Thoracic opacity in a newborn infant disclosing an adenomatoid cyst of the lung. Radio-echographic case].

In a preterm infant (28 week gestation), the chest film performed at 1 hour of life because of mild respiratory insufficiency showed a massive opacity of the right hemithorax. Congenital cystic adenomatoid malformation was suspected on the basis of ultrasonographic findings of multiple cysts. It was confirmed by further X ray examination and pathologic findings. This unusual case shows the ultrasonographic pattern and X ray evolution of this rare malformation.

Humans↗

[Perinatal symptomatology of severe neuromuscular diseases. Apropos of 11 cases].

The neonatal diagnosis of neuro-muscular diseases is difficult. From a series of 11 neonates presenting with such diseases, ante and postnatal semiology has been studied. During pregnancy, hydramnios (7/11) and decreased active movements were the most frequent symptoms. Delivery was often dystotic (7/11). After birth, respiratory distress, lack of motility, hypotonia, and muscle and tendon retraction were the clinical manifestations (10/11). Knowledge of this semiology should facilitate the ante and postnatal screening of affected patients. The diagnosis depends on family history and, overall, on the results of muscle biopsy.

Biopsy↗

[C-reactive protein and neonatal infections. Diagnostic importance].

Serum C Reactive Protein (CRP) levels were measured in 36 neonates with a suspicion of sepsis. In the 11 children in whom septicemia was proven, CRP levels were abnormal in all cases, while hematologic data were significantly changed in 3 cases only (27%). In the 16 neonates who were not infected, CRP was abnormal in only one case, and hematologic data significantly changed in 2 (12%). In 9 neonates with at least 2 peripheral samples positive for the same organism, CRP and hematologic data were respectively abnormal in 6 (66%) and one (11%) cases.

Bacterial Infections↗