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Article ; Online: Torsade de pointe due to QT prolongation following erythromycin administration in a preterm infant.

Fobe, Caroline / Van Grambezen, Benedicte / Moniotte, Stéphane / Vo, Christophe / Dussart, Anneliese / Danhaive, Olivier / Piersigilli, Fiammetta

Acta cardiologica

2021  Volume 77, Issue 7, Page(s) 597–601

Abstract: Background: Neonatal sepsis is a major cause of morbidity and mortality in preterm infants. Chorioamnionitis is an important risk factor for the development of sepsis, therefore neonates born to mothers developing signs of amnionitis need to be treated ... ...

Abstract Background: Neonatal sepsis is a major cause of morbidity and mortality in preterm infants. Chorioamnionitis is an important risk factor for the development of sepsis, therefore neonates born to mothers developing signs of amnionitis need to be treated with antibiotics immediately after birth.
Case presentation: We describe the case of a 29 weeks preterm infant born to a mother with
Conclusions: Erythromycin should be administered in neonates only if no other choice is available, as although generally well tolerated, its administration can be associated with QTc interval prolongation. When no other option is available, paediatricians should be aware to perform cardiac monitoring or at least serial ECGs before and during erythromycin administration.
MeSH term(s) Pregnancy ; Female ; Infant, Newborn ; Humans ; Torsades de Pointes ; Infant, Premature ; Erythromycin/adverse effects ; Long QT Syndrome/chemically induced ; Long QT Syndrome/diagnosis ; Ureaplasma Infections/drug therapy ; Anti-Bacterial Agents/adverse effects ; Tachycardia
Chemical Substances Erythromycin (63937KV33D) ; Anti-Bacterial Agents
Language English
Publishing date 2021-08-23
Publishing country England
Document type Case Reports ; Journal Article
ZDB-ID 390197-x
ISSN 1784-973X ; 0001-5385
ISSN (online) 1784-973X
ISSN 0001-5385
DOI 10.1080/00015385.2021.1968153
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