A Newborn Infant with Giant Omphalocele and Peeling Skin

A male infant with a prenatal diagnosis of giant omphalocele and left-sided diaphragmatic eventration is noted to have skin peeling 11 days after birth.The infant was admitted to the NICU and maintained on mechanical ventilation. Chest ultrasonography on the day of birth revealed a small left pleural effusion and diaphragmatic eventration. The team placed a peripherally inserted central catheter on the second day after birth to provide parenteral nutrition for a prolonged period. The infant failed a trial of extubation 4 days after birth. On the following day, the team evaluated the infant for sepsis because of clinical instability. A complete blood cell (CBC) count demonstrated a normal white blood cell count, normal platelets, and no …