TY - JOUR T1 - Problem-solving in clinical practice: Persisting respiratory distress in a premature infant JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed SP - 239 LP - 243 DO - 10.1136/archdischild-2019-317757 VL - 106 IS - 4 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 Y1 - 2021/08/01 UR - http://ep.bmj.com/content/106/4/239.abstract N2 - 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 ER -