CLINICAL HISTORY.—A male infant weighing 3,860 gm (8 lb 8⅓ oz) was the product of a full-term uneventful pregnancy and labor. The delivery was said to be traumatic with forceps rotation. There was no significant maternal blood loss during delivery. At birth, intraocular hemorrhage of the right eye and a right facial paralysis and contusions of the scalp and face were noted. The infant seemed to be doing well until the age of 60 hours at which time he had an apneic spell, appeared extremely pale, and a firm mass was palpated in the right flank. The hemoglobin concentration was 9 gm/100 ml and culture of the blood yielded no growth. The infant was given intramuscular penicillin and streptomycin and referred to the Los Angeles Childrens Hospital at the age of 66 hours.
On admission, the infant had a good cry and appeared fairly vigorous. Pertinent positive physical findings were: