0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Myocardial Hyperbilirubinemia in a Premature Infant

Livia Ross, MD; Harriet Fremland, MD
Am J Dis Child. 1968;115(3):358-361. doi:10.1001/archpedi.1968.02100010360011.
Text Size: A A A
Published online

BILIRUBIN CRYSTALS have been reported in autopsy tissues of infants who died with high bilirubin levels. These crystals were found especially prevelant in the brain, kidney, and adrenals.1 To the best of our knowledge gross icteric pigmentation with bilirubin crystal deposits in the heart has not been reported.

Pertinent Clinical and Autopsy Findings. The mother is an 18-year-old migratory Mexican, gravida 1, para 1, who had had no prenatal care. The child was born out of wedlock. The expected date of confinement was uncertain. At birth the female child weighed 907.25 gm, at the time of death, seven days later, the baby weighed 880 gm and measured 35 cm, crown to heel. At birth the Apgar score was reported as 2. The patient lived for seven days and during this time frequent apneic spells occurred. On day one, the total bilirubin (TB) was 12.0 mg/100 cc, indirect bilirubin (IB)

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();