Dear Sue Wet lung or TTN (transient tachypnoea of the newborn) is normaly identified by mild grunting, chest/rib recession and an increased resp rate. It is more commonly see in babies born by caesarean because they have missed out on the 'squeezing' of the chest wall during birth and therefore can still have excess fluid on their lungs (hence the name wet lung I guess). You can also see babies with TTN after a rapid birth with I guess doesn't allow the same amount of time for 'squeezing' of the chest wall. An xray will show 'streaking' and the baby usually requires head box oxygen for 2-3 days. A CRP is an infection marker and has been adopted as an indication of infection. It is not definitive as it can be raised for other reasons such as inflammation but is deemed to be a pretty good guide line. (An ESR is much more definitive but requires a lot more blood so doesn't tend to be done on little babies very often). The normal value for a CRP is less than 10 so 140 would have been pretty high and I am guessing that the baby would have been give antibiotics. It would seem possible that this baby had more than TTN with a CRP of 140 and there was some sepsis related to the respiratory symptoms. Hope this helps. Sam
>From: Sue Cookson <[EMAIL PROTECTED]> >To: <[EMAIL PROTECTED]> >Subject: C-reactive protein (CRP) >Date: Wed, 17 Apr 2002 19:57:29 -0800 > >Hi again, >This time looking for info on c-reactive protein. >Any research which helps understand what it is, it's place with babies with >respiratory distress, the appropriateness of antibiotic therapy etc etc > >This follows a baby transferred from home after a great birth, failed to >clear it's airways but no mec staining or anything else obvious, needed >oxygen for 48 hours to full recovery.... any suggestions?? > >Only measurable pathology was CRP, 140 instead of 30 or so... > >Does this replace the old 'wet lung syndrome?' > >Many thanks, >Sue > >-- >This mailing list is sponsored by ACE Graphics. >Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. _________________________________________________________________ Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
