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Updated: Jan 29, 2026

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Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
Published on: January 27, 2023
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[A neonate with rectal bleeding]
Kirsten A Thus1,2, Mariëlle Maissan1, Peter de Man3
1Franciscus Gasthuis & Vlietland, locatie Franciscus Gasthuis, afd. Kindergeneeskunde, Rotterdam.
Nederlands Tijdschrift Voor Geneeskunde
|February 8, 2019
Summary
Rectal bleeding in neonates can signal Campylobacter infection, a serious condition in infants under three months. Early diagnosis and antibiotic treatment are crucial to prevent severe outcomes from infectious colitis.
Area of Science:
- Neonatal Medicine
- Infectious Diseases
- Pediatric Gastroenterology
Background:
- Rectal bleeding in neonates often attributed to anal fissures or necrotising enterocolitis (NEC).
- Bacterial colitis is typically considered unlikely in neonates, leading to under-investigation.
Observation:
- A case study of a healthy neonate presenting with rectal blood loss is detailed.
- The neonate's condition was diagnosed as Campylobacter jejuni infection.
Findings:
- Infectious colitis, specifically Campylobacter infection, should be considered in neonates with rectal bleeding.
- Prompt antibiotic treatment for Campylobacter infection is recommended for infants under three months due to high risk of severe disease.
Implications:
- Highlights the importance of considering infectious causes for neonatal rectal bleeding.
- Emphasizes the need for timely diagnostics and intervention in pediatric infectious colitis cases.
- Informs clinical practice regarding the management of Campylobacter infections in young infants.
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