A Case of Bilateral Spontaneous Chylothorax with Respiratory Syncytial Virus Bronchiolitis
Joint Authors
Briceno-Medina, Mario
Perez, Michael
Zhang, Jie
Naik, Ronak
Shah, Samir
Kimura, Dai
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-02-06
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
A case of bilateral spontaneous chylothorax with respiratory syncytial virus (RSV) bronchiolitis has never been reported.
We report the case of a 7-month-old boy born at 33 weeks gestation with a history of Down syndrome, atrial septal defect, pulmonary hypertension, and chronic lung disease, hospitalized due to RSV bronchiolitis who developed bilateral spontaneous chylothorax with exacerbation of pulmonary hypertension (PH).
The patient died after 9 weeks of mechanical ventilation and treatment for PH.
The autopsy showed acute infectious signs, a chronic interstitial lung disease with pulmonary hypertensive changes and subpleural cysts with no evidence of congenital lymphangiectasia.
The cause of chylothorax in this child could be multifactorial.
However, worsening pulmonary hypertension with RSV infection might have partially contributed to the development of chylothorax through elevated superior venous cava pressure.
Thoracentesis should be considered for patients with Down syndrome and PH associated with congenital heart disease who develop persistent pleural effusion during RSV bronchiolitis to rule out chylothorax.
American Psychological Association (APA)
Briceno-Medina, Mario& Perez, Michael& Zhang, Jie& Naik, Ronak& Shah, Samir& Kimura, Dai. 2019. A Case of Bilateral Spontaneous Chylothorax with Respiratory Syncytial Virus Bronchiolitis. Case Reports in Pediatrics،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1143659
Modern Language Association (MLA)
Briceno-Medina, Mario…[et al.]. A Case of Bilateral Spontaneous Chylothorax with Respiratory Syncytial Virus Bronchiolitis. Case Reports in Pediatrics No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1143659
American Medical Association (AMA)
Briceno-Medina, Mario& Perez, Michael& Zhang, Jie& Naik, Ronak& Shah, Samir& Kimura, Dai. A Case of Bilateral Spontaneous Chylothorax with Respiratory Syncytial Virus Bronchiolitis. Case Reports in Pediatrics. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1143659
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143659