[PAGID] Attached umbilical cord in 8 week old

[Chris Seroogy]

Dear Colleagues:

I saw an 8 week old FT male in clinic this week with a solidly attached
umbilical stump.  He has had two hospitalizations for pneumonia.  One at 3
weeks (documented RSV) and the second bilateral infiltrates responsive to
antibiotics 2 weeks ago with documented resolution.  His weight is at the
10%ile and down from birth (25-50%ile).  Normal immunoglobulins, normal T, B
and NK cell numbers.  Initially with the second hospitalization he was
slightly neutropenic (ANC 1000) and this has normalized.  He has never had a
leukocytosis on numerous CBCs.  His flow for CD18 and CD11b is normal.  I
intend to send DHR.  It seems he needs more PMN functional studies, but I am
perplexed by the lack of leukocytosis.  I welcome any thoughts.  Regards,
Chris


Chris Seroogy, M.D.

Assistant Professor

Dept. of Pediatrics

Mail:  H4/474 CSC, Mailstop 4108

Shipping:  H4/431 CSC, Mailstop 4108

600 Highland Ave.

Madison, WI  53792

phone: 608- 263-2652

fax: 608-265-0164