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Related Experiment Videos

Cocaine: a risk factor for necrotizing enterocolitis.

R Porat1, N Brodsky

  • 1Temple University School of Medicine, Department of Pediatrics, Albert Einstein Medical Center, Philadelphia, PA 19141.

Journal of Perinatology : Official Journal of the California Perinatal Association
|March 1, 1991
PubMed
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Maternal cocaine use may lead to necrotizing enterocolitis (NEC) in full-term infants, even without typical risk factors. This condition requires a high index of suspicion for prompt diagnosis and treatment.

Area of Science:

  • Neonatal Medicine
  • Pediatric Gastroenterology
  • Toxicology

Background:

  • Necrotizing enterocolitis (NEC) predominantly affects preterm infants with low birth weight.
  • NEC can also occur in mature infants, often linked to compromised gastrointestinal blood flow.
  • This study investigates NEC in larger infants without typical risk factors.

Purpose of the Study:

  • To report on four cases of necrotizing enterocolitis in term/near-term infants.
  • To highlight the association between maternal cocaine use and NEC in this population.
  • To emphasize the importance of considering NEC in infants with in utero cocaine exposure.

Main Methods:

  • Case series of four infants with necrotizing enterocolitis.
  • Review of clinical presentation, including abdominal distention, bloody stools, vomiting, and residuals.

Related Experiment Videos

  • Correlation with maternal history of cocaine use.
  • Main Results:

    • All four infants had a history of maternal cocaine use and presented with NEC symptoms.
    • One infant experienced severe deterioration and died; the other three survived with medical management.
    • No other known risk factors for NEC were identified in these cases.

    Conclusions:

    • Maternal cocaine use is a potential risk factor for necrotizing enterocolitis in term and near-term infants.
    • A high index of suspicion for NEC and feeding intolerance is crucial in exposed infants.
    • Early recognition and management are vital for improving outcomes in affected neonates.