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Case Reports in Pediatrics
Volume 2018, Article ID 7858192, 3 pages
https://doi.org/10.1155/2018/7858192
Case Report

It Is Not Always Sepsis: Fatal Tachypnea in a Newborn

1Department of Pediatrics, SUNY Downstate Medical Center, Brooklyn, NY, USA
2Department of Pediatrics, Neonatal-Perinatal Section, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
3Department of Pediatric Cardiology, University of Miami, Miami, FL, USA
4Department of Pediatrics, Kings County Hospital Center, Brooklyn, NY, USA

Correspondence should be addressed to Elza Pollak-Christian; moc.liamg@kallopazle

Received 29 November 2017; Accepted 11 January 2018; Published 21 February 2018

Academic Editor: Larry A. Rhodes

Copyright © 2018 Rachel Levene et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Coarctation of the aorta (CoA) is a congenital cardiac malformation that is well understood. Despite being well characterized, CoA is a commonly missed congenital heart disease (CHD) during the newborn period. We report a full-term nine-day-old male who presented to the pediatric emergency department (ED) with isolated tachypnea. After an initial sepsis workup, subsequent investigations revealed critical CoA. Because the primary workup focused on sepsis, there was a significant delay in prostaglandin E1 (PGE1) initiation. This case illustrates the importance of early CoA recognition and timely initiation of PGE1 in newborns who present with suspected sepsis along with tachypnea.