Spontaneous neonatal pleural effusion

Depp, David A.; Atherton, Stephen O.; McGough, Edwin C.

doi:10.1016/s0022-3468(74)80212-5

Cited by 6 publications

(6 citation statements)

References 7 publications

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“…Idiopathic neonatal pleural effusion is frequently chylous in nature. Simple effusions are known to turn chylous after establishment of external fat feeds [3,4]. However, in our case, the effusion remained non-chylous even after feeds were initiated.…”

Section: Discussionmentioning

confidence: 57%

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Idiopathic Congenital Non-Chylous Pleural Effusion in Neonate: A Case Report

2016

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Section: Discussionmentioning

confidence: 57%

“…Spontaneous or idiopathic neonatal pleural effusion is defined as any effusion in a newborn of age less than 30 days, without any obvious etiology [2,4]. Causes of pleural effusion in the newborn include chylothorax, immune and no immune hydrops, Turner and Down syndromes, congenital pneumonia and congenital heart disease [5].…”

Section: Discussionmentioning

confidence: 99%

Idiopathic Congenital Non-Chylous Pleural Effusion in Neonate: A Case Report

2016

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“…Simple effusions are known to turn chylous after establishment of external fat feeds. [47] However, in our case, the effusion remained nonchylous even after feeds were initiated. Chylous fluid is milky white in color with triglycerides more than 110 mg/dl (provided there is minimal fat intake), cholesterol between 65 and 220 mg/dl and lymphocytosis with absolute cell count greater than 1000/βl with a lymphocyte fraction greater than 80%.…”

Section: Discussionmentioning

confidence: 57%

“…[45] Causes of pleural effusion in the newborn include immune and nonimmune hydrops, Turner and Down syndromes, congenital, pneumonia and wet lung syndrome. [6] The index case had no identifiable cause and was therefore an idiopathic pleural effusion.…”

Section: Discussionmentioning

confidence: 99%

Nonchylous idiopathic pleural effusion in the newborn

Gathwala

Singh

Rattan

et al. 2011

Indian Journal of Critical Care Medicine

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“…It is defined as any effusion in a new-born (age less than 30 days), without any obvious explanation. (8,9) In the retrospective study by Rocha et al, pleural effusions were congenital in 32% and acquired in 68%. (10) The aetiology of pleural effusion in the new-born includes immune and no immune hydrops, syndromes associated like Turner and Down syndromes, chylothorax, congenital heart disease, and congenital pneumonia.…”

Section: Discussionmentioning

confidence: 98%

Non-Chylous Congenital Pleural Effusion in New-Born

Elmelhat¹

2023

SVOAPD

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IntroductionPleural effusion is defined as fluid accumulation in the pleural space. This potential space exists between the parietal pleura lining the chest wall and the visceral pleura around the lung. (1) The incidence ranging from 1/10,000 to 1/15,000. (2,3) There is a wide spectrum of aetiology ranging from idiopathic, chromosomal anomalies, inflammatory association, or structural malformations. (4) It is usually chylous. (5,6) Currently, there is no sufficient data regarding the incidence of isolated pleural effusion associated with inflammation or genetic syndromes. The aetiology can be classified in primary and secodary aetiologies. The primary causes could be hydrothorax or chylothorax. Secondary causes usually associated with hydrops fetalis either immune or non-immune. Non-immune causes usually associated with infection, bronchopulmonary sequestration, congenital heart disease, congenital lung lesion, chromosomal -genetic syndromes or congenital diaphragmatic hernia. (7) Case reportA term baby girl 40+1 weeks of gestational age, weighing 3 kg, appropriate for gestation, was born by Kiwi assisted vaginal delivery done for foetal distress to a 25-year-old booked mother G2P1 with "O" positive blood group. The antenatal scan at 12 weeks of gestational age showed the nuchal translucency thickness at the upper normal limit (2.5 mm). The Foetal anomaly scan at 20 weeks of gestational age was reported normal. The repeated antenatal ultrasound at 31 weeks was normal but the antenatal scan at 39+5 weeks showed pleural effusion. Baby required resuscitation and intubation at birth and the Apgar scores were 5 and 7 at 1 and 5 minutes, respectively. She was in severe respiratory distress after resuscitation in the form of tachypnoea, with subcostal and intercostal recessions and breath sounds were diminished over the left hemithorax with right sided apex heartbeats auscultated for which she was admitted to the neonatal intensive care unit. She was observed with dysmorphic features in the form of upward slanting eyes, short neck, sandal gap deformity sign [Figure 1], but there was no signs of hydrops fetalis. Rest of the systemic examination was normal. The blood gas analysis revealed severe mixed acidosis with pH 6.8, PaO2 90 mmHg, and PaCO2 113 mmHg, HCO3 and BE were unrecordable. The baby was connected to conventional mechanical ventilation; IV fluids and antibiotics were charted but there was progressive worsening with increasing Fio2 requirements up to 100%. An urgent bedside chest X-ray was done revealed left side pleural effusion with mediastinal shift of the airway and heart to the right side [Figure 2]. Echocardiography was done and showed large sized patent ductus arteriosus with severe persistent pulmonary hypertension. Chest tube was inserted which drained straw-coloured fluid around 100 ml.

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Spontaneous neonatal pleural effusion

Cited by 6 publications

References 7 publications

Idiopathic Congenital Non-Chylous Pleural Effusion in Neonate: A Case Report

Idiopathic Congenital Non-Chylous Pleural Effusion in Neonate: A Case Report

Nonchylous idiopathic pleural effusion in the newborn

Non-Chylous Congenital Pleural Effusion in New-Born

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