Document Detail

Not all infantile respiratory distress in winter is bronchiolitis: congenital lobar emphysema.
MedLine Citation:
PMID:  22675056     Owner:  NLM     Status:  MEDLINE    
The authors report the case of a 4-week-old male infant presented during the winter period with respiratory distress. He had a 3 day history of cough and coryza, and a 2 day history of breathlessness and reduced feeding. He had evidence of tachypnoea, subcostal recession and hypoxia on examination. An initial diagnosis of bronchiolitis was made. The authors explore how the correct diagnosis of congenital lobar emphysema (CLE) was reached, highlighting key clinical signs and investigations. He had evidence of a hyperinflated right middle lobe, with collapse of right upper and lower lobes and left upper lobe with associated mediastinal shift on chest x-ray (CXR) and CT scan. He was referred to the regional Paediatric Cardiothoracic Centre where right middle lobectomy was performed with complete resolution of his respiratory distress and re-expansion of the compressed lobes on CXR. Current literature concerning CLE is reviewed.
Laura Taqvi; Michael Griksaitis; Katherine Eastham
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-10-20
Journal Detail:
Title:  BMJ case reports     Volume:  2011     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2011  
Date Detail:
Created Date:  2012-06-07     Completed Date:  2013-11-05     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Paediatrics Department, Sunderland Royal Hospital, Sunderland, UK.
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MeSH Terms
Bronchiolitis / diagnosis*
Diagnosis, Differential
Infant, Newborn
Pulmonary Emphysema / complications,  congenital*,  diagnosis*,  surgery
Respiratory Distress Syndrome, Newborn / etiology*,  surgery

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