A pre-term female infant was born at 25 weeks with a birth weight of 820 g. She suffered from respiratory distress, patent ductus arteriosis, chronic lung disease, retinopathy, mild periventricular leukomalacia, hypoglycemia, grade 1 intraventricular hemorrhage, and prematurity in the neonatal intensive care unit. She was treated with a single dose of indomethacin and 2 red blood cell infusions. Respiratory history : Three doses of surfactant High-frequency oscillation Extubation on day 7 of life The infant was not given any systemic steroids during extubation. The patient was given 500 micrograms of inhaled nebulized budesonide twice daily.
She was initially maintained on high-flow oxygen, followed by low-flow oxygen, and eventually on room air. The patient was weaned of budesonide for 7 days from the 59 th day of his life. She became unwell during this time. She showed apneic spells,…
