Oral Facio-Digital Syndrome in a Nigerian Infant

Abstract

Baby YS, a 72-hour old term male baby was admitted on account of an abnormally small tongue, multiple digits and fast breasting since birth. Fast breathing started shortly after home delivery which was conducted by a nurse. The mother had drained liquor for three days prior to delivery Examination revealed an active baby crying fairly audibly with rutinentary multi lobulated tongue, irregular gum, high-ached palate, Fleshy outgrowth in bold nostrils, and low set ears. There were also multiple digits on all the limbs, six each on the upper, 1 seven on the lower limbs which syndactyly of the two right big toes, there was a single palmar Lease bilaterally Anthroponety measurements were all within normal limits for a term baby. His respiratory rule as 82 cycles per minute, with inspiratory stridor, interonstal recessions and pectus carinatum. Auscustation revealed transmitted sounds in the nirogenital system, there was micropenis, with a streched penie length of 1.2sm. Abdominal and central nervous systems were normal for the age. Initial assessment was that m ultiple congenital anomalies and respiratory distress will risk for sepsis. Investigations requested immediately included Xray of the limbs, chest Xray and full blood count. Antibiotics, intravenous fluids, and intranal oxygen were commenced. His respiratory distress gradually improved over the next three days, and he began to tolerate expressed breast milk via cup and spoon. He was well enough to be discharged after six days of admission. However, he defaulted from follow up and died at home at age of three months. Entensive literature search revealed a rarity of the malformations.