question-icon

What does presence of positive CRP in a new born infant?

default
Posted on Fri, 25 Jul 2014
Question: I am XXXX my baby girl of 3 days undergone CRP test and status is positive and it is 12 mg/L. Could you please tell me is that cause any problem
doctor
Answered by Dr. Deepak Kishore Kaltari (39 minutes later)
Brief Answer:
Elevated CRP usually denotes infection

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear XXXX

Being a parent myself, I understand your concern and apprehension.
CRP or C-Reactive protein is a acute phase protein which usually is elevated when there is active infection. Presence of positive CRP in a neonate requires further assessment and evaluation.

I would require additional information for me to be able to assist you further

1. Was it full term or preterm delivery
2. Was it Vaginal delivery or cesarean section
3. If cesarean what was the indication for caesarean section
4. Was the labour prolonged?
5. Did the baby cry immediately after birth? What was apgar score?
6. What was the birth weight?
7. Is baby on breast feeding?
8. Is baby passing urine and stool normally?
9. Is there any respiratory difficulty and what other investigation have been carried out

Majority of information can be collected from case sheet of baby.

Awaiting your response

Take care

Best regards
Dr Deepak XXXXXXX
MBBS, MS, MCh
Consultant Pediatric Surgeon

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Deepak Kishore Kaltari (11 hours later)
It's full term delivery. On day one of 10th month.
it's c section but she undergone labor but she lost amniotic fluid as doctor waited for free delivery.
baby cried immediately. She is 3 kgs. She is getting mother feeding.
doctor
Answered by Dr. Deepak Kishore Kaltari (2 hours later)
Brief Answer:
If other investigation are normal: no worry

Detailed Answer:
Namasthe
Good morning XXXX

Apologies for late reply as was busy in NICU.
Going by your description it appears that indication of Caesarean section was premature rupture of membrane with failure to progress to labour.
Premature rupture of membrane could be the factor for elevated CRP levels in neonate.
If the following criteria are fulfilled there is no cause for concern
1. Baby cried immediately after birth
2. Baby on breast feeding and accepting feeds well
3. Other investigation like Cbc, chest xay, urine examination and blood culture normal
4. No clinical signs of sepsis
5. Birth weight greater than 2.5 kg
6. No distension of abdomen and baby passing stools normally
7. Respiratory rate less than 60 per minute

Going by your description that baby is on breast feeding implies baby is doing well.

Do get back to me if you need any further assistance, will be glad to assist you.

Wishing you a very happy and safe parenthood.

Take care
Best regards
Dr Deepak
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3193 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

199 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What does presence of positive CRP in a new born infant?

Brief Answer: Elevated CRP usually denotes infection Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear XXXX Being a parent myself, I understand your concern and apprehension. CRP or C-Reactive protein is a acute phase protein which usually is elevated when there is active infection. Presence of positive CRP in a neonate requires further assessment and evaluation. I would require additional information for me to be able to assist you further 1. Was it full term or preterm delivery 2. Was it Vaginal delivery or cesarean section 3. If cesarean what was the indication for caesarean section 4. Was the labour prolonged? 5. Did the baby cry immediately after birth? What was apgar score? 6. What was the birth weight? 7. Is baby on breast feeding? 8. Is baby passing urine and stool normally? 9. Is there any respiratory difficulty and what other investigation have been carried out Majority of information can be collected from case sheet of baby. Awaiting your response Take care Best regards Dr Deepak XXXXXXX MBBS, MS, MCh Consultant Pediatric Surgeon