Congenital lobar emphysema mimicking as persistent pneumonia in a newborn
Congenital lobar emphysema (CLE) is an uncommon congenital malformation of the lung that can present with respiratory distress in early life. We report a full term female baby who presented with intermittent bluish discoloration of the lips and extremities during crying since birth. An initial diagn...
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Format: | Article |
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MDPI AG
2011-11-01
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Series: | Clinics and Practice |
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Online Access: | https://www.clinicsandpractice.org/index.php/cp/article/view/224 |
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author | Sriparna Basu Aditya Kumar Gupta Ashok Kumar |
author_facet | Sriparna Basu Aditya Kumar Gupta Ashok Kumar |
author_sort | Sriparna Basu |
collection | DOAJ |
description | Congenital lobar emphysema (CLE) is an uncommon congenital malformation of the lung that can present with respiratory distress in early life. We report a full term female baby who presented with intermittent bluish discoloration of the lips and extremities during crying since birth. An initial diagnosis of left sided collapse-consolidation with right-sided compensatory emphysema was made from chest xray. When no improvement was noted after intravenous antibiotic therapy for 7 days, computerized tomographic scan of thorax was done which showed emphysema of the right middle lobe with transherniation and mediastinal shift to the left. Right middle lobectomy was done and postoperative period was uneventful. Histopathological examination of the specimen confirmed the diagnosis of CLE. CLE can mimic more common causes of respiratory distress in neonatal period and needs a high index of suspicion for diagnosis. Early diagnosis and effective surgical treatment is curative. |
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institution | Directory Open Access Journal |
issn | 2039-7275 2039-7283 |
language | English |
last_indexed | 2024-04-14T01:57:06Z |
publishDate | 2011-11-01 |
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series | Clinics and Practice |
spelling | doaj.art-690724c8f8a7439f9cc0dc7d42b230432022-12-22T02:18:59ZengMDPI AGClinics and Practice2039-72752039-72832011-11-011410.4081/cp.2011.e10193Congenital lobar emphysema mimicking as persistent pneumonia in a newbornSriparna Basu0Aditya Kumar Gupta1Ashok Kumar2Associate Professor, Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, VaranasiDepartment of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, VaranasiDepartment of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, VaranasiCongenital lobar emphysema (CLE) is an uncommon congenital malformation of the lung that can present with respiratory distress in early life. We report a full term female baby who presented with intermittent bluish discoloration of the lips and extremities during crying since birth. An initial diagnosis of left sided collapse-consolidation with right-sided compensatory emphysema was made from chest xray. When no improvement was noted after intravenous antibiotic therapy for 7 days, computerized tomographic scan of thorax was done which showed emphysema of the right middle lobe with transherniation and mediastinal shift to the left. Right middle lobectomy was done and postoperative period was uneventful. Histopathological examination of the specimen confirmed the diagnosis of CLE. CLE can mimic more common causes of respiratory distress in neonatal period and needs a high index of suspicion for diagnosis. Early diagnosis and effective surgical treatment is curative.https://www.clinicsandpractice.org/index.php/cp/article/view/224congenital lobar emphysemacyanosisnewbornrespiratory distress. |
spellingShingle | Sriparna Basu Aditya Kumar Gupta Ashok Kumar Congenital lobar emphysema mimicking as persistent pneumonia in a newborn Clinics and Practice congenital lobar emphysema cyanosis newborn respiratory distress. |
title | Congenital lobar emphysema mimicking as persistent pneumonia in a newborn |
title_full | Congenital lobar emphysema mimicking as persistent pneumonia in a newborn |
title_fullStr | Congenital lobar emphysema mimicking as persistent pneumonia in a newborn |
title_full_unstemmed | Congenital lobar emphysema mimicking as persistent pneumonia in a newborn |
title_short | Congenital lobar emphysema mimicking as persistent pneumonia in a newborn |
title_sort | congenital lobar emphysema mimicking as persistent pneumonia in a newborn |
topic | congenital lobar emphysema cyanosis newborn respiratory distress. |
url | https://www.clinicsandpractice.org/index.php/cp/article/view/224 |
work_keys_str_mv | AT sriparnabasu congenitallobaremphysemamimickingaspersistentpneumoniainanewborn AT adityakumargupta congenitallobaremphysemamimickingaspersistentpneumoniainanewborn AT ashokkumar congenitallobaremphysemamimickingaspersistentpneumoniainanewborn |