Recurrent pleural effusions in a neonate.

Abstract:

:Difficulty breathing is a common presenting complaint for infants in the emergency department (ED). Periodic breathing, respiratory or systemic infection, and congenital heart disease are common diagnoses in this age group. We report the case of a male neonate presenting to the ED on multiple occasions with respiratory distress and recurrent pleural effusions of unique origin. Unlike adult pleural effusions, pediatric effusions are most commonly exudative and of infectious origin. In neonates, acquired chylothorax secondary to surgery or trauma is the most common cause of symptomatic pleural effusions. Congenital chylothorax is a rare entity that has not been presented in the emergency medicine literature. This case illustrates the extremely rare ED presentation of congenital chylothorax and outlines an approach to pediatric pleural effusions.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Lim RK,Malik SA

doi

10.1097/PEC.0b013e31815f6f34

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

41-3

issue

1

eissn

0749-5161

issn

1535-1815

pii

00006565-200801000-00010

journal_volume

24

pub_type

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