🦠microbiology review

Gray baby syndrome

Written by the Fiveable Content Team • Last updated August 2025
Written by the Fiveable Content Team • Last updated August 2025

Definition

Gray baby syndrome is a serious condition caused by the accumulation of the antibiotic chloramphenicol in neonates, leading to cyanosis and potentially fatal circulatory collapse. It occurs due to immature liver enzymes in infants that are unable to metabolize the drug effectively.

5 Must Know Facts For Your Next Test

  1. Gray baby syndrome primarily affects premature and newborn infants.
  2. The condition is linked to the usage of chloramphenicol, an antibiotic once widely used for bacterial infections.
  3. Symptoms include vomiting, ashen gray skin color, hypotension, and hypothermia.
  4. Immature liver function in neonates leads to inadequate drug metabolism and excretion of chloramphenicol.
  5. Treatment involves discontinuing chloramphenicol and providing supportive care such as oxygen therapy or exchange transfusion.
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