PT - JOURNAL ARTICLE AU - Daniel R Owens AU - Clarissa Michelle Medalla AU - Kelly N Brown AU - Kishani Wijewardena AU - Claire P Thomas AU - Mildred A Iro AU - Christine E Jones AU - Saul N Faust AU - Sanjay Valabh Patel TI - Problem-solving in clinical practice: Persisting respiratory distress in a premature infant AID - 10.1136/archdischild-2019-317757 DP - 2021 Aug 01 TA - Archives of disease in childhood - Education & practice edition PG - 239--243 VI - 106 IP - 4 4099 - http://ep.bmj.com/content/106/4/239.short 4100 - http://ep.bmj.com/content/106/4/239.full SO - Arch Dis Child Educ Pract Ed2021 Aug 01; 106 AB - The deterioration of a previously stable preterm infant is a common scenario on the neonatal unit. The the most common bacterial causes of deterioration are nosocomial infections, such as coagulase-negative Staphylococcus and Staphylococcus aureus. Non-infective conditions such as pulmonary haemorrhage, anaemia of prematurity and necrotising enterocolitis may also cause preterm infants to deteriorate. This case chronicles the unusual diagnostic journey of an infant born at 27+1 weeks who deteriorated at 26 days of life and did not respond to antimicrobial therapy as anticipated.There are no data in this work