Bilateral reexpansion pulmonary edema associated with pleural empyema: a case report


Paksu M. S., Paksu S., Akgun M., KALAYCI A. G., Baysal K.

EUROPEAN JOURNAL OF PEDIATRICS, cilt.170, sa.9, ss.1205-1207, 2011 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 170 Sayı: 9
  • Basım Tarihi: 2011
  • Doi Numarası: 10.1007/s00431-011-1441-6
  • Dergi Adı: EUROPEAN JOURNAL OF PEDIATRICS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.1205-1207
  • Anahtar Kelimeler: Reexpansion pulmonary edema, Pleural empyema, Child, LUNGS
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

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.