Development of Localized Pulmonary Interstitial Emphysema in a Late Preterm Infant without Mechanical Ventilation
Pulmonary interstitial emphysema (PIE) is not an uncommon finding in premature infants with respiratory distress who need respiratory support by mechanical ventilation. PIE has been reported in a few cases of neonates in whom either no treatment other than room air was given or they were given conti...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2014/429797 |
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| author | Pritish Bawa Kultida Soontarapornchai Agnes Perenyi Rachelle Goldfisher John Amodio |
| author_facet | Pritish Bawa Kultida Soontarapornchai Agnes Perenyi Rachelle Goldfisher John Amodio |
| author_sort | Pritish Bawa |
| collection | DOAJ |
| description | Pulmonary interstitial emphysema (PIE) is not an uncommon finding in premature infants with respiratory distress who need respiratory support by mechanical ventilation. PIE has been reported in a few cases of neonates in whom either no treatment other than room air was given or they were given continuous positive end-expiratory pressure (CPAP) support. We present a case of a premature neonate who presented with respiratory distress, in whom PIE and spontaneous pneumothorax (PTX) developed while on CPAP therapy only. The patient was treated conservatively with subsequent resolution of the radiological findings and clinical improvement. No surgical intervention was required. It is important to know that PIE may develop independently of mechanical ventilation. We would like to add this case to the literature and describe the pertinent plain film and computed tomography (CT) findings of this entity, the possible mechanism of development, and the differential diagnosis. A review of the literature is also provided. |
| format | Article |
| id | doaj-art-c0cfbac3fbb940b9b517b8ef5efbb223 |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-c0cfbac3fbb940b9b517b8ef5efbb2232025-02-03T05:53:45ZengWileyCase Reports in Pediatrics2090-68032090-68112014-01-01201410.1155/2014/429797429797Development of Localized Pulmonary Interstitial Emphysema in a Late Preterm Infant without Mechanical VentilationPritish Bawa0Kultida Soontarapornchai1Agnes Perenyi2Rachelle Goldfisher3John Amodio4Department of Radiology, SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USADepartment of Pediatrics, SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USADepartment of Pediatrics, SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USADepartment of Radiology, SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USADepartment of Radiology, SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USAPulmonary interstitial emphysema (PIE) is not an uncommon finding in premature infants with respiratory distress who need respiratory support by mechanical ventilation. PIE has been reported in a few cases of neonates in whom either no treatment other than room air was given or they were given continuous positive end-expiratory pressure (CPAP) support. We present a case of a premature neonate who presented with respiratory distress, in whom PIE and spontaneous pneumothorax (PTX) developed while on CPAP therapy only. The patient was treated conservatively with subsequent resolution of the radiological findings and clinical improvement. No surgical intervention was required. It is important to know that PIE may develop independently of mechanical ventilation. We would like to add this case to the literature and describe the pertinent plain film and computed tomography (CT) findings of this entity, the possible mechanism of development, and the differential diagnosis. A review of the literature is also provided.http://dx.doi.org/10.1155/2014/429797 |
| spellingShingle | Pritish Bawa Kultida Soontarapornchai Agnes Perenyi Rachelle Goldfisher John Amodio Development of Localized Pulmonary Interstitial Emphysema in a Late Preterm Infant without Mechanical Ventilation Case Reports in Pediatrics |
| title | Development of Localized Pulmonary Interstitial Emphysema in a Late Preterm Infant without Mechanical Ventilation |
| title_full | Development of Localized Pulmonary Interstitial Emphysema in a Late Preterm Infant without Mechanical Ventilation |
| title_fullStr | Development of Localized Pulmonary Interstitial Emphysema in a Late Preterm Infant without Mechanical Ventilation |
| title_full_unstemmed | Development of Localized Pulmonary Interstitial Emphysema in a Late Preterm Infant without Mechanical Ventilation |
| title_short | Development of Localized Pulmonary Interstitial Emphysema in a Late Preterm Infant without Mechanical Ventilation |
| title_sort | development of localized pulmonary interstitial emphysema in a late preterm infant without mechanical ventilation |
| url | http://dx.doi.org/10.1155/2014/429797 |
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