PRESENTATION OF CASE A three-day-old girl was admitted to the hospital because of tachypnea. The child was the product of a vaginal delivery after an uncomplicated, full-term gestation in a gravida-4 mother. During her first two days she fed poorly but displayed no neonatal distress, cyanosis or tachypnea. On the third day she vomited twice, and tachypnea developed. An x-ray film of the chest revealed cardiac enlargement and clear lungs, and the patient was transferred to this hospital. The parents, aged 32 and 31 years, were in good health, as were three siblings, who ranged in age from four to.
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