Premium
Necrotizing enterocolitis following the use of intravenous immunoglobulin for haemolytic disease of the newborn
Author(s) -
Navarro Mariel,
Negre Sergio,
Matoses María Luisa,
Golombek Sergio G,
Vento Maximo
Publication year - 2009
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.2009.01279.x
Subject(s) - medicine , necrotizing enterocolitis , coagulopathy , enterocolitis , refractory (planetary science) , surgery , parenteral nutrition , pediatrics , gastroenterology , physics , astrobiology
Aim: To describe a series of patients who received intravenous immunoglobulin (IVIg) for the treatment of neonatal hyperbilirubinaemia and developed necrotizing enterocolitis (NEC) shortly thereafter. Population and Results: We describe three healthy breastfed newly born infants with isoimmunization‐derived hyperbilirubinaemia refractory to phototherapy who were treated with IVIg. Shortly after the perfusion finished they developed clinical and radiological signs compatible with NEC and needed antibiotic therapy, prolonged parenteral nutrition and even surgery in one case. Other conditions such as septicaemia or coagulopathy were ruled out. Microscopic examination of the resected intestine revealed the presence of disseminated thrombi obstructing multiple minor vessels of the mesenteric circulation. Conclusion: IVIg in the newborn period should be cautiously employed and always administered under strict medical control.