Acta Medica Iranica 2014. 52(7):575-577.

Atypical respiratory distress in a newborn: a diagnostic dilemma.
Pranab Kumar Dey, Biswajit Mondal, Nilay Ranjan Bagchi


Neonatal respiratory distress is a very common problem in our practice. The causes may be respiratory, cardiovascular, central, metabolic, haematological and surgical. The cause of distress due to transient myocardial depression is not very common in mild asphyxia. We present a case having transient myocardial depression with severe respiratory distress and features of shock in a mild asphyxiated baby.


Respiratory Distress; Shock; Myocardial depression; Metabolic acidosis

Full Text:



Neonatal morbidity and mortality. Report of the National Neonatal Perinatal database. Indian Pediatr 1997;34(11):1039-42.

Barbara J. Stoll, Ira Adams-Chapman. Delivery Room Emergency. In: Klieman RM, Behrman RE, Jenson HB, et al, editors. Nelson Textbook of Pediatrics. 18th ed. Philadelphia: Saunders; 2007: p. 723-6.

Rowe RD, Hoffman T. Transient myocardial ischemia of the newborn infant: A form of severe cardiorespiratory distress in full-term infants. J Pediatr 1972;81(2): 243-50.

Ranjit MS. Cardiac abnormalities in birth asphyxia. Indian J Pediatr 2000;67(3 Suppl):S26-9.

Bhakta KY. Respiratory Distress Syndrome. In: Cloherty JP, Stark AR, et al, editors. Manual of Neonatal Care. 18th ed. Philadelphia: Lipincott Williams; 2008: p. 323-30.

Kumar P, Kumar R, Narang A. Spectrum of neonatal respiratory distress at PGI. Bull NNF 1999;13(4):8-11.

Singhi S, Singhi PD. Clinical signs in neonatal pneumonia. Lancet 1990;336(8722):1072-3.

Christian L. Hermansen, Kevin N. Lorah, Respiratory Distress in the Newborn. Am Fam Physician 2007;76(7):987-94.

Respiratory distress in a newborn baby. WHO Collaborating Center for Training and Research in Newborn Care. (Accessed in Feb 14, 2014, at respiratorydistress.pdf).

Barberi I, Calabro MP, Cordaro S, et al. Myocardial ischaemia in neonates with perinatal asphyxia.Electrocardiographic, echocardiographic and enzymatic correlations. Eur J Pediatr 1999; 158(9): 742-7.


  • There are currently no refbacks.

Creative Commons Attribution-NonCommercial 3.0

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.