<unk>  should be suspected in a new born with abdominal distension, progressive pallid cyanosis, irregular respirations, and refusal to breastfeed. The cause of<unk>  can come from the direct use of intravenous or oral chloramphenicol in neonates. Direct chronological relation between the use of the medication and signs and symptoms of the syndrome should be found in the previous medical history. In terms of the possible route of chloramphenicol,<unk>  may not come from the mother's use of chloramphenicol during pregnancy or breastfeeding. According to the Drug and Lactation database (LactMed), it states that "milk concentrations are not sufficient to induce<unk> ". It is also reported that the syndrome may not develop in infants when their mothers use the medication in their late period of pregnancy. According to the Oxford Review, chloramphenicol given to mothers during their pregnancy did not result in<unk> , but was caused by infants receiving supra-therapeutic doses of chloramphenicol after birth. The presentation of symptoms can depend on the level of exposure of the drug to the baby, given its dose-related nature. A broad diagnosis is usually needed for babies who present with cyanosis. To support the diagnosis, blood work should be done to determine the level of serum chloramphenicol, and to further evaluate chloramphenicol toxicity, a complete blood panel including levels of serum ketones, glucose (due to the risk of hypoglycemia), metabolic panel should be completed to help determine if an infant has the syndrome. Other tools used to help with diagnosis include CT scans, ultrasound, and electrocardiogram.
Gray baby syndrome
Blue baby syndrome
Michelin tire baby syndrome
Shaken baby syndrome
Neonatal diabetes
Baboon syndrome
Hydrolethalus syndrome
Hemolytic disease of the newborn 