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Pneumatocele infants

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https://www.readbyqxmd.com/read/26366266/two-cases-of-pneumatoceles-in-mechanically-ventilated-infants
#1
Mohammed Al-Ghafri, Said Al-Hanshi, Suad Al-Ismaily
Pulmonary pneumatocele is a thin-walled, gas-filled space within the lung that usually occurs in association with bacterial pneumonia and is usually transient. The majority of pneumatoceles resolve spontaneously without active intervention, but in some cases they might lead to pneumothorax with subsequent hemodynamic instability. We report two cases presented to the pediatric intensive care unit at the Royal Hospital, Oman with pneumatoceles. The first was a 14-day-old baby who underwent surgical repair of total anomalous pulmonary venous connection (TAPVC) requiring extracorporeal membrane oxygenation (ECMO) support following surgery...
July 2015: Oman Medical Journal
https://www.readbyqxmd.com/read/26206480/an-infant-with-a-hyperlucent-chest-mass-an-unexpected-diagnosis
#2
Zarmina Ehsan, Jaimie D Nathan, Carolyn M Kercsmar
INTRODUCTION: We report an unusual finding of pneumatocele in an infant. CASE REPORT: A previously well four month old presented with worsening respiratory distress over 6 weeks. He had no antecedent signs or symptoms of respiratory infection. Chest radiograph demonstrated a lucent hemithorax concerning for tension pneumothorax. Urgent needle decompression was performed. Chest CT showed a persistent dominant macrocyst on the left. Thoracotomy revealed a large cystic lesion necessitating a left lower lobectomy...
December 2015: Pediatric Pulmonology
https://www.readbyqxmd.com/read/25677123/life-threatening-giant-pneumatoceles-in-the-course-of-surfactant-protein-c-deficiency
#3
Tugba Sismanlar, Ayse Tana Aslan, Matthias Griese
Chronic interstitial lung diseases are rare in childhood and can present with a wide spectrum of histological abnormalities and radiological-clinical phenotypes. A 17-month-old female infant with malnutrition, recurrent lower respiratory tract infections, and failure to thrive since 3 months of age was diagnosed as surfactant protein C deficiency. Diffuse, giant, and life-threatening pneumatoceles developed during the course. They were treated with empiric drug treatment and oxygen support, and resolved rapidly...
July 2015: Pediatric Pulmonology
https://www.readbyqxmd.com/read/24525614/surgical-salvage-of-acquired-lung-lesions-in-extremely-premature-infants
#4
Greg D Sacks, Katherine Chung, Kevin Jamil, Meena Garg, James C Y Dunn, Daniel A DeUgarte
Acquired neonatal lung lesions including pneumatoceles, cystic bronchopulmonary dysplasia, and pulmonary interstitial emphysema can cause extrinsic mediastinal compression, which may impair pulmonary and cardiac function. Acquired lung lesions are typically managed medically. Here we report a case series of three extremely premature infants with acquired lung lesions. All three patients underwent aggressive medical management and ultimately required tube thoracostomies. These interventions were unsuccessful and emergency thoracotomies were performed in each case...
May 2014: Pediatric Surgery International
https://www.readbyqxmd.com/read/23986612/inadvertent-chest-tube-insertion-in-congenital-cystic-adenomatoid-malformation-and-congenital-lobar-emphysema-highlighting-an-important-problem
#5
Shailesh M Prabhu, Subhasis Roy Choudhury, Ravi S Solanki, Gurucharan S Shetty, Surenderkumar Agarwala
BACKGROUND: Chest tube insertion in congenital cystic lung lesions is an important problem in children with acute respiratory distress having a cystic lucent lesion on chest radiograph. OBJECTIVE: To evaluate the imaging findings and complications in cases of congenital cystic lung lesions with chest tube insertion and suggest the role of appropriate imaging for management of these patients. MATERIALS AND METHODS: Chest radiographs and CT scans of children with congenital cystic lung lesions who had inadvertent chest tube insertion preoperatively were retrospectively reviewed for imaging appearances and complications...
January 2013: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/23552548/unusual-presentation-of-gastric-perforation-in-a-neonate-subcutaneous-emphysema-and-scrotal-pneumatocele
#6
Derya Erdogan
Gastric perforation in neonates is an uncommon condition. A four-day-male neonate was referred with respiratory distress, abdominal distention, right scrotal swelling and extensive emphysema of the abdominal wall. Abdominal X-ray findings showed bilateral sub-diaphragmatic free air, right scrotal pneumatocele and subcutaneous emphysema of the abdominal wall. During the operation, pre-pyloric perforation was determined. Primary repair by single layer suture was performed and postoperative period was uneventful...
April 2013: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/23448707/-lung-pneumatocele-in-adult-patient-case-report
#7
A Dzian, I Fúčela, J Hamžík, Z Huťka, P Stiegler
Lung pneumatoceles are characterized by a thin-walled air-filled cavity present in lung parenchyma. Mostly they are the result of acute bronchopneumonia after spontaneous drainage of altered lung parenchyma with subsequent development and progression of cavities due to ventile mechanism. This disease is more prevalent in infants and young children, it is rather rare in adults. In the present case report, videothoracoscopy resection of lung pneumatocele of the right lower lobe was performed a 43-years old man...
December 2012: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/23283803/pneumatoceles-in-infants-in-the-neonatal-intensive-care-unit-clinical-characteristics-and-outcomes
#8
Prem Arora, Vaneet Kumar Kalra, Girija Natarajan
OBJECTIVE: To describe the clinical characteristics and outcomes of neonatal intensive care unit patients with a radiographic diagnosis of pneumatocele. STUDY DESIGN: Retrospective chart review. RESULTS: Our cohort (n = 27) had a gestational age of 27 ± 5 weeks, birth weight of 1038 ± 760 g, and a predominance of females (59%) and black infants (74%). All infants were ventilated at the time of diagnosis at a median age of 12 days (range: 5 to 105 days)...
September 2013: American Journal of Perinatology
https://www.readbyqxmd.com/read/22751495/autosomal-dominant-stat3-deficiency-and-hyper-ige-syndrome-molecular-cellular-and-clinical-features-from-a-french-national-survey
#9
COMPARATIVE STUDY
Marie-Olivia Chandesris, Isabelle Melki, Angels Natividad, Anne Puel, Claire Fieschi, Ling Yun, Caroline Thumerelle, Eric Oksenhendler, David Boutboul, Caroline Thomas, Cyrille Hoarau, Yvon Lebranchu, Jean-Louis Stephan, Celine Cazorla, Nathalie Aladjidi, Marguerite Micheau, François Tron, André Baruchel, Vincent Barlogis, Gilles Palenzuela, Catherine Mathey, Stéphane Dominique, Gérard Body, Martine Munzer, Fanny Fouyssac, Rolland Jaussaud, Brigitte Bader-Meunier, Nizar Mahlaoui, Stéphane Blanche, Marianne Debré, Muriel Le Bourgeois, Virginie Gandemer, Nathalie Lambert, Virginie Grandin, Stéphanie Ndaga, Corinne Jacques, Chantal Harre, Monique Forveille, Marie-Alexandra Alyanakian, Anne Durandy, Christine Bodemer, Felipe Suarez, Olivier Hermine, Olivier Lortholary, Jean-Laurent Casanova, Alain Fischer, Capucine Picard
Autosomal dominant deficiency of signal transducer and activator of transcription 3 (STAT3) is the main genetic etiology of hyper-immunoglobulin (Ig) E syndrome. We documented the molecular, cellular, and clinical features of 60 patients with heterozygous STAT3 mutations from 47 kindreds followed in France. We identified 11 known and 13 new mutations of STAT3. Low levels of interleukin (IL)-6-dependent phosphorylation and nuclear translocation (or accumulation) of STAT3 were observed in Epstein-Barr virus-transformed B lymphocytes (EBV-B cells) from all STAT3-deficient patients tested...
July 2012: Medicine (Baltimore)
https://www.readbyqxmd.com/read/22187691/decompression-of-multiple-tension-pneumatoceles-in-a-child-using-computed-tomography-guided-percutaneous-catheter-placement
#10
Shu-Wing Ku, Tak-Ching Yu, Kam-Wai Chan
Pneumatoceles can develop as a complication of pneumonia. Air accumulation inside pneumatoceles can produce a pressure effect on surrounding structures. A 15-month-old girl who developed multiple tension pneumatoceles secondary to infection caused by pneumococcus is reported. The patient experienced severe cardiorespiratory compromise that was unresponsive to conservative treatment with high-frequency oscillatory ventilation. The condition was successfully treated with computed tomography-guided percutaneous catheter placement using a pigtail catheter for decompression...
November 2011: Canadian Respiratory Journal: Journal of the Canadian Thoracic Society
https://www.readbyqxmd.com/read/21571653/expanding-upon-the-unilateral-hyperlucent-hemithorax-in-children
#11
Jonathan R Dillman, Ramon Sanchez, Maria F Ladino-Torres, Sai G Yarram, Peter J Strouse, Javier Lucaya
Unilateral hyperlucent hemithorax is a common pediatric chest radiographic finding that may also be seen at computed tomography. It may result from congenital or acquired conditions involving the pulmonary parenchyma, airway, pulmonary vasculature, pleural space, and chest wall, as well as from technical factors such as patient rotation. Unilateral hyperlucent hemithorax has a broad differential diagnosis that includes unilateral emphysematous or bullous disease, pneumatocele, foreign body aspiration, Swyer-James syndrome, congenital lobar emphysema, endobronchial mass, unilateral pulmonary agenesis, proximal interruption of the pulmonary artery, scimitar syndrome, diaphragmatic hernia, and Poland syndrome...
May 2011: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/21509722/paramediastinal-air-cyst-with-traumatic-bronchial-injury-a-rare-complication-of-neonatal-resuscitation
#12
S Said, K Salhab, S Muehlstedt, D Wahoff
Paramediastinal air cysts and pneumatoceles are known complications of chest trauma and mechanical ventilation. After an initial period of enlargement, these lesions tend to resolve completely with conservative management. We present a case of a premature newborn who developed an enlarging paramediastinal air cyst as a result of resuscitation around the time of delivery that ultimately required surgical excision via a right thoracotomy. To our knowledge, this is the first reported case in a neonate.
April 2012: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/21462823/necrotizing-pneumonia-in-infants
#13
Biserka Cicak, Eva Verona, Iva Mihatov-Stefanović
Community-acquired bacterial pneumonias generally have a good prognosis, given a good response to the antibiotic treatment applied, and complications such as pleural effusion, empyema, abscess and necrotizing pneumonia with pneumatocele formation (cavitary necrosis) are rare. Although cavitary necrosis is manifested as a severe disease, most children show complete recovery even without surgical treatment and have normal chest radiographs at long term. A case is presented of an immunocompetent infant that developed necrotizing pneumonia with pneumatocele formation during treatment of bacterial pneumonia...
September 2010: Acta Clinica Croatica
https://www.readbyqxmd.com/read/21324546/clinical-immunological-and-genetic-features-in-taiwanese-patients-with-the-phenotype-of-hyper-immunoglobulin-e-recurrent-infection-syndromes-hies
#14
Wen-I Lee, Jing-Long Huang, Syh-Jae Lin, Kuo-Wei Yeh, Li-Chen Chen, Liang-Shiou Ou, Tsung-Chieh Yao, Meng-Ying Hsieh, Yhu-Chering Huang, Hong-Ren Yu, Ho-Chang Kuo, Kunder D Yang, Tang-Her Jaing
Hyper-immunoglobulin E recurrent infection syndromes (HIES) have distinct features, with identified associated mutations of STAT3, TYK2, and DOCK8. Among 197 Taiwanese patients with primary immunodeficiency on a referral-base of over 23 million inhabitants, STAT3 (R382W and Q469R) and DOCK8 mutations (exon 1-9 deletion) were identified in two patients each from six AD-HIES and five AR-HIES patients, respectively. Aside from decreased Th17 and memory B cells, characteristic facies and pneumatocele were not mutually exclusive regardless of STAT3 and DOCK8 mutations...
August 2011: Immunobiology
https://www.readbyqxmd.com/read/21225174/surgical-treatment-of-children-with-necrotizing-pneumonia
#15
Fernando Luiz Westphal, Luís Carlos de Lima, José Corrêa Lima Netto, Eugênio Tavares, Edson de Oliveira Andrade, Márcia dos Santos da Silva
OBJECTIVE: To describe the results of the surgical treatment of children with necrotizing pneumonia. METHODS: A retrospective analysis of the medical charts of 20 children diagnosed with necrotizing pneumonia and submitted to surgical treatment between March of 1997 and September of 2008 in the thoracic surgery departments of two hospitals in the city of Manaus, Brazil. We compiled data regarding age, gender, etiologic agent, indications for surgery, type of surgical resection performed, and postoperative complications...
November 2010: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/20880308/conservative-treatment-of-a-large-post-infectious-pneumatocele
#16
Leon Joseph, Sarit Shahroor, Drora Fisher, Shmuel Goldberg, Elie Picard
No abstract text is available yet for this article.
October 2010: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/20816194/diagnostic-approach-to-the-hyper-ige-syndromes-immunologic-and-clinical-key-findings-to-differentiate-hyper-ige-syndromes-from-atopic-dermatitis
#17
Lena F Schimke, Julie Sawalle-Belohradsky, Joachim Roesler, Andreas Wollenberg, Anita Rack, Michael Borte, Nikolaus Rieber, Reinhold Cremer, Eberhart Maass, Roland Dopfer, Janine Reichenbach, Volker Wahn, Manfred Hoenig, Annette F Jansson, Angela Roesen-Wolff, Bianca Schaub, Reinhard Seger, Harry R Hill, Hans D Ochs, Troy R Torgerson, Bernd H Belohradsky, Ellen D Renner
BACKGROUND: Hyper-IgE syndromes (HIES) are primary immunodeficiency disorders characterized by Staphylococcus aureus abscesses, recurrent pneumonia, increased serum IgE levels, and eczema. The association of heterozygous signal transducer and activator of transcription 3 (STAT3) mutations with autosomal dominant (AD)-HIES allows the differentiation of AD-HIES from disorders associated with eczema and increased serum IgE levels, such as other primary immunodeficiencies and atopic dermatitis...
September 2010: Journal of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/20703979/unilateral-lung-intubation-for-pulmonary-air-leak-syndrome-in-neonates-a-case-series-and-a-review-of-the-literature
#18
REVIEW
Leon J Joseph, Ruben Bromiker, Ori Toker, Michael S Schimmel, Shmuel Goldberg, Elie Picard
Air leak syndrome represents a common set of complications of ventilated premature neonates and includes pneumothorax, pneumomediastinum, pulmonary interstitial emphysema, and pneumatocele. Unilateral intubation is an infrequently utilized treatment option. We report our experience of three cases of air leak syndrome in neonates, each treated with unilateral intubation, including two cases of recalcitrant pneumothorax. A review of the literature of similar neonatal cases is presented. In view of our experience and the review of the literature, we suggest that unilateral intubation is an efficient and relatively safe therapy in cases of neonatal air leak syndrome...
February 2011: American Journal of Perinatology
https://www.readbyqxmd.com/read/20467734/radiological-findings-of-community-acquired-methicillin-resistant-and-methicillin-susceptible-staphylococcus-aureus-pediatric-pneumonia-in-hawaii
#19
COMPARATIVE STUDY
Guliz Erdem, Lora Bergert, Kyra Len, Marian Melish, Kevin Kon, Robert DiMauro
BACKGROUND: Community-acquired Staphylococcus aureus (CA-SA) infections are common among pediatric patients in Hawaii. OBJECTIVE: We wanted to characterize the radiological features of methicillin-susceptible (CA-MSSA) and methicillin-resistant (CA-MRSA) staphylococcal pneumonia in Hawaiian children. MATERIALS AND METHODS: We retrospectively reviewed medical records and imaging studies of children with SA pneumonia identified from 1996 through 2007...
November 2010: Pediatric Radiology
https://www.readbyqxmd.com/read/20072857/lung-cysts-following-pulmonary-artery-operations-diagnostic-and-therapeutic-implications
#20
Nishith Kumar Jetley, Abdullah A Al-Hayani, Raja Mustafa Thiga
We describe the case of a child suffering from congenital cyanotic heart disease - double outlet right ventricle (DORV) with transposition of great vessels (TOGV). She underwent a left Blalock-Tausig (BT) shunt at one month of age followed by a Glen procedure with left pulmonary artery augmentation at six months. Following the second procedure she developed extensive cyst formation in the upper lobe of the left lung and pneumothorax. She was managed by intercostal drainage of the pneumothorax. The cysts were observed and on a CT scan X-rays taken at one month and six months no cysts were seen...
November 2009: Indian Journal of Pediatrics
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