Decreased heart sound in a healthy newborn: Spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distress
Spontaneous pneumomediastinum in the absence of predisposing risk factors has been rarely observed in full-term neonates. A 3-day-old neonate, delivered vaginally at term without any perinatal complications or signs of respiratory difficulty, was referred to the Seoul National University Children’s...
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Format: | Article |
Language: | English |
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Korean Pediatric Society
2010-02-01
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Series: | Korean Journal of Pediatrics |
Online Access: | http://www.kjp.or.kr/upload/2010530221-20100339134839.PDF |
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author | Young June Choe Eun eun Kim Ee-Kyung Kim Han-Suk Kim Jung-Eun Chun Woo Sun Kim In-One Kim Jung-Hwan Choi |
author_facet | Young June Choe Eun eun Kim Ee-Kyung Kim Han-Suk Kim Jung-Eun Chun Woo Sun Kim In-One Kim Jung-Hwan Choi |
author_sort | Young June Choe |
collection | DOAJ |
description | Spontaneous pneumomediastinum in the absence of predisposing risk factors has been rarely observed in full-term neonates. A 3-day-old neonate, delivered vaginally at term without any perinatal complications or signs of respiratory difficulty, was referred to the Seoul National University Children’s Hospital because of reduced heart sound detected during routine neonatal examination. Chest computed tomography (CT) showed air collection in the anterior mediastinum. The baby developed respiratory distress on the fourth day and required supplemental oxygen. On the seventh day, there was no sign of respiratory difficulty, and x-ray examination showed no demonstrable pneumomediastinum. Hence, careful neonatal physical examination is essential during the postnatal assessment of newborns, and spontaneous pneumomediastinum should be considered when a healthy newborn presents with reduced heart sound. |
first_indexed | 2024-04-13T20:23:40Z |
format | Article |
id | doaj.art-302c08f92d344a81a7384279eca93292 |
institution | Directory Open Access Journal |
issn | 1738-1061 2092-7258 |
language | English |
last_indexed | 2024-04-13T20:23:40Z |
publishDate | 2010-02-01 |
publisher | Korean Pediatric Society |
record_format | Article |
series | Korean Journal of Pediatrics |
spelling | doaj.art-302c08f92d344a81a7384279eca932922022-12-22T02:31:26ZengKorean Pediatric SocietyKorean Journal of Pediatrics1738-10612092-72582010-02-0153224424710.3345/kjp.2010.53.2.244Decreased heart sound in a healthy newborn: Spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distressYoung June ChoeEun eun KimEe-Kyung KimHan-Suk KimJung-Eun ChunWoo Sun KimIn-One KimJung-Hwan ChoiSpontaneous pneumomediastinum in the absence of predisposing risk factors has been rarely observed in full-term neonates. A 3-day-old neonate, delivered vaginally at term without any perinatal complications or signs of respiratory difficulty, was referred to the Seoul National University Children’s Hospital because of reduced heart sound detected during routine neonatal examination. Chest computed tomography (CT) showed air collection in the anterior mediastinum. The baby developed respiratory distress on the fourth day and required supplemental oxygen. On the seventh day, there was no sign of respiratory difficulty, and x-ray examination showed no demonstrable pneumomediastinum. Hence, careful neonatal physical examination is essential during the postnatal assessment of newborns, and spontaneous pneumomediastinum should be considered when a healthy newborn presents with reduced heart sound.http://www.kjp.or.kr/upload/2010530221-20100339134839.PDF |
spellingShingle | Young June Choe Eun eun Kim Ee-Kyung Kim Han-Suk Kim Jung-Eun Chun Woo Sun Kim In-One Kim Jung-Hwan Choi Decreased heart sound in a healthy newborn: Spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distress Korean Journal of Pediatrics |
title | Decreased heart sound in a healthy newborn: Spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distress |
title_full | Decreased heart sound in a healthy newborn: Spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distress |
title_fullStr | Decreased heart sound in a healthy newborn: Spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distress |
title_full_unstemmed | Decreased heart sound in a healthy newborn: Spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distress |
title_short | Decreased heart sound in a healthy newborn: Spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distress |
title_sort | decreased heart sound in a healthy newborn spontaneous multiseptated cystic pneumomediastinum with delayed respiratory distress |
url | http://www.kjp.or.kr/upload/2010530221-20100339134839.PDF |
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