acinobacter

Nik Muhammad Iqram,DOB; 20.10.09
RN. B 415959
Mother - Rohani Hussin (Contact no. 019 9700511), 37 years primary teacher,G15, P14.Father -, 42 years business man Siblings ;5 passed away; 1st - female B wt 2.6died 35 days, 2nd at day 1, 5th male at 1 hour, 6th male day 1 7th FSB, 9th male 7 days.8 children are alive, 4 male 4 female ranging from 1to 6years.Mother is A positive,VDRL negative.He was born prem 31wk AGA SVD B Wt 1.79Kg, APGAR 9 at 1 minute. No PROM.1. Coagulopathy DIC vit K, FFP, cryo, plat2. NEC stage IIb; post peritoneal lavage; bowl herniated out from peritoneal lavage site, laparotomy and lavage done on 26.11.09. Noted to have congested liver with inflammed gallbladder. No bowl perforation with normal anatomy and rotation. Ascites positive.long lineblocked intra op.3. Group positive sepsisAcinobacter species sepsis4. ECHO 4.11.09 small PDA 3.5mm with mild coA frusemide with held due to incr loss5. Cholestatic Jaundice6. Rt Femoral vein line 28.11.097. Thrombocytopenia not improved with BD Plat transfusion8. Hypoalbuninemia; trial of daily albumin transfusion given9. Rt IVH grade 110. covered for fungal sepsis. nopoisitive culture. amphotericine B11. IE ? fungal ball (ECHO 3.12.09) Promkinent bright papillary muscle attached AMVL12. Leucopenia - recievedsc GCSF13. ROP screen - no ROP14. NNJ SB 674 DB 430 IB 244 ET done 18.11. 0915. Ascites with diaphragmatic spliting, frequent desaturation - peritoneal lavage done fluid negative for organism andcells16. USG craneum mild dilated ventricles 22.11.09