Bilateral reexpansion pulmonary edema associated with pleural empyema: a case report
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Muhammet Sukru Paksu & Sule Paksu & Muhammet Akgün & Ayhan Gazi Kalayc & Kemal Baysal
- چاپ و سال / کشور: 2011
Description
Reexpansion pulmonary edema is an uncommon complication following rapid reexpansion of the lungs. The risk increases with a prolonged duration of pulmonary collapse, the amount of drained liquid or air, and with decreased time of draining. Treatment is supportive. In general, the prognosis is favorable. A nine-year-old boy was presented with fever, cough, and respiratory distress. Pneumonia and left-sided pleural empyema were determined and a chest tube was emplaced. Clinical deterioration occurred in just a few minutes following chest tube insertion. His chest radiography revealed a pulmonary edema in the left lung. Despite mechanical ventilation, antibiotics, and diuretic treatment, no significant improvement occurred. Acute respiratory distress syndrome and multiple organ dysfunctions developed in the follow-up. The patient died on day 5 of hospitalization. In this report, a complicated reexpansion pulmonary edema with a lathal outcome in a 9-year-old child is presented.
Eur J Pediatr DOI 10.1007/s00431-011-1441-6 Received: 19 January 2011 / Accepted: 24 February 2011
