Pneumonectomy Case in a Newborn with Congenital Pulmonary Lymphangiectasia

Hwang, Joon Ho; Kim, Joo Heon; Hwang, Jung Ju; Kim, Kyu Soon; Kim, Seung‐Yeon

doi:10.3346/jkms.2014.29.4.609

Cited by 12 publications

(5 citation statements)

References 18 publications

(38 reference statements)

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“…In general, the same causes of spontaneous miscarriage or early pregnancy failure are represented by various factors such as the mother's age, Chromosoma abnormalities, endocrine disorders, and thrombophilia. In addition to environmental factors and bacterial infections (22 ) , viral infections during pregnancy are dangerous for the fetus, such as being infected with rubella virus, Cytomegalovirus, and herpes simplex virus, as they are among the known causes of congenital anomalies and morbidity, and a recent study conducted in Korea by researchers ( 23) Coxsackievirus B is an important cause of forgotten miscarriage.…”

Section: Discussionmentioning

confidence: 99%

Immunological Indicators in Aborted Women Infected with Human Cytomegalovirus in Karbala City, Iraq

Alkharsan¹,

Aljanabi²,

Alshammari³

2022

The Egyptian Journal of Hospital Medicine

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Introduction:In affluent countries, human cytomegalovirus (CMV) is the most common cause of congenital malformations caused by viral intrauterine infection. HCMV infection is the infectious cause of deafness, visual loss, mental retardation, and other neurodevelopmental disorders in children, causing significant morbidity and mortality in infants. Objective: The work was conducted to identify the rates of spontaneous abortion occurrence among the age groups, stages of pregnancy, and detection of the type of abortion that most frequently occurred in the pregnant women community. Patients and Methods: 65 Blood samples were collected from abortifacients women at the moment of miscarriage. Each pregnant woman had five milliliters of blood collected to separate the sera. The CMV-IgM and CMV-IgG antibody levels in the patient's serum were determined using an ELISA assay. Results: The outcome of antibodies against CMV were found in 50 of 65 (76.92%) aborted mothers, while 15 (23.07%) of 65 women had abortions for unknown reasons. Meanwhile, most pregnant women who had abortions tested positive for CMV-IgG, with 36 (72%) of them being positive, the number of people who tested positive for CMV-IgM was 14 (28%). The age group 25-34 years old was the most infected with CMV infection, accounting for 25 (50%) of the cases. 96% and 4% of patients were infected in urban and the countryside regions, respectively. Conclusion:Based on this research, spontaneous abortion rates are increasing within young age groups, particularly for missed abortions during the first trimester of pregnancy.

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Section: Discussionmentioning

confidence: 99%

Immunological Indicators in Aborted Women Infected with Human Cytomegalovirus in Karbala City, Iraq

Alkharsan¹,

Aljanabi²,

Alshammari³

2022

The Egyptian Journal of Hospital Medicine

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“…Treatment with pneumonectomy has only been described in a newborn of 39 weeks of gestation with rightsided pulmonary lymphangiectasia and refractory respiratory insufficiency to the conventional treatment. The authors concluded that pneumonectomy can be considered for cases with unilateral CPL, with respira-tory insufficiency that is difficult to control and with a high probability of survival 28 .…”

Section: Discussionmentioning

confidence: 99%

“…Generally, in the CPL both lungs are affected and have a poor prognosis with a mortality rate of 50-98% 8,9 . Unilateral presentation is extremely rare, only few cases have been reported, it has a better prognosis and sometimes it has a spontaneous resolution [10][11][12] . In both presentations, newborns present severe respiratory failure in the first hours of life and require support with conventional mechanical ventilation and in some cases with highfrequency oscillatory ventilation (HFOV) 13 .…”

Section: Introductionmentioning

confidence: 99%

Linfangiectasia pulmonar congénita unilateral en un neonato prematuro

Garcı́a

Hernández

Félix³

et al. 2018

Rev. chil. pediatr.

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Unilateral congenital pulmonary lymphangiectasia (CPL) is an extremely rare disease of the pulmonary lymphatic vessels. Objective: to present a case of CPL in a premature newborn. Clinical case: premature male newborn with severe respiratory failure at 2 hours of extrauterine life was treated with exogenous surfactant, catecholamines and high frequency oscillatory ventilation (HFOV). Chest computed tomography (CT) scan showed bullae and air trapping of the left lung; the histopathological study showed cystic dilation of the bronchoalveolar lymphatic channels. The diagnosis of secondary unilateral CPL was made. The clinical course up to 19 months of age was normal and the chest CT scan showed few emphysematous bullae. Conclusions: CPL must be one of the differential diagnoses in neonates with unexplained respiratory distress. The prognosis will depend on the type of CPL and lung involvement

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“…The autopsy of neonates dead soon after birth in the delivery room should be performed in time to avoid disputes. CPLis a rare condition but has specific treatments for which include corticosteroids for patients with primary inflammatory conditions, dietary modifications, pneumonectomy, 27 octreotide, antiplasmin therapy, and fibrin glue pleurodesis.…”

Section: Vascular Diseasesmentioning

confidence: 99%