Hiperbilirrubinemia por incompatibilidad de grupo

Abstract

The neonatal hyperbilirubinemia (HBM) is the increase of total bilirubins (BT) in blood giving as a result a pathological status because of the variability between production and its elimination, showing itself as jaundice. It is dealt with a new born, female, transferred from the Pediatrics hospital with a diagnosis of neonatal jaundice. She was received by the body guard of the third level hospital who is valuated and enters into the Neonatology service: lab and complementary exams are requested. Simultaneously treatment is initiated with intensive phototherapy (FTI, in front of the infection risk due to home birth and parental hydration. The newly born evolved favorably during hospitalization: the bilirubin values (Bil) decrease significantly, presenting traces of Kernicterus which improved the FT treatment: this is why check out is carried out in good conditions. The patient for her risk will be valuated by external consultation. In the later controls, physicians indicate that the newly born presents an apparently normal development. The importance of the performance of this clinic case which interests with the fact that it is a marked HBM and presents suggestive clinic signs of Kernicterus: there were no neurological side effects. In spite of the fact that the treatment consisted only with phototherapy, the Bil values, the hematocrit and hemoglobin increased significantly.