Abstract

GOBAIRA, Adriana; DUBRA, Silvia; BACILE, Gabriela  and  MARTINEZ ARROYO, Luis. Abscesos suprarrenales bilaterales en un recién nacido. Arch. Pediatr. Urug. [online]. 2007, vol.78, n.2, pp.145-150. ISSN 1688-1249.

Summary Bilateral suprarenal bleeding is a rare disease in the newborn and young infant. Obstetric trauma, perinatal hypoxic-ischemic syndrome, sepsis and coagulopathy disorders are predisposing factors. Sometimes an abscess forms if an infection is present since the beginning. A possible complication in patients with neonatal septicemia and hypoxic-ischemic syndrome with persistent leukocytes and inflammatory markers is suprarenal abscess. Abdominal ultrasound and a CAT scan are needed for surgical evaluation. Percutaneous punction of the suprarenal masses is useful in order to confirm diagnosis and etiology. Percutaneous drainage through ultrasound or tomography should be considered as treatment, as intravenous antibiotics according to microbiological sensibility. A case of a newborn with sepsis to Escherichia Coli with severe hypoxic-ischemic compromise complicated with bilateral suprarenal abscess is presented. Main etiologies, diagnosis and therapeutic aspects of this entity are reviewed.

Keywords : ADRENAL GLANDS; ABSCESS; HEMORRHAGE; ESCHERICHIA COLI INFECTIONS; INFANT, NEWBORN.

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