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Disseminated candidiasis after steroid treatment for early neonatal hypotension
  1. MARGARITA BURMESTER,
  2. CHRISTINE PIERCE,
  3. ANDY PETROS
  1. Intensive Care Unit
  2. Great Ormond Street Hospital NHS Trust
  3. London WC1N 3JH, UK

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Editor—We are concerned that intravenous steroids are increasingly being used for the treatment of early neonatal hypotension without proper evaluation. We recently treated three newborn premature infants who had received a six day reducing course of intravenous hydrocortisone (starting at 12.5 mg/kg/day in divided doses) from day 1 of age for the treatment of hypotension. They were otherwise stable, apart from one infant who had a patent ductus arteriosus. All developed severe systemic …

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