A two-day-old baby has poor feeding, grunting, temperature instability and lethargy; the mother had group B streptococcus in her swab. What is the most likely diagnosis?
Answer and explanation
Correct answer: C. Early-onset neonatal sepsis
- Step 1: The picture of early sepsis with maternal group B streptococcus fits Early-onset neonatal sepsis.
Answer
Early-onset neonatal sepsis.
Why not the others: 'Neonatal respiratory distress syndrome': it affects preterm babies with a ground-glass chest film. 'Transient tachypnoea of the newborn': it settles quickly in a term baby. 'Hypoglycaemia': it gives jitteriness and poor feeding with a low glucose.
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