Reexpansion pulmonary edema in children

Detalhes bibliográficos
Autor(a) principal: Rodrigues,Antonio Lucas L.
Data de Publicação: 2013
Outros Autores: Lopes,Carlos Eduardo, Romaneli,Mariana Tresoldi das N., Fraga,Andrea de Melo A., Pereira,Ricardo Mendes, Tresoldi,Antonia Teresinha
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Paulista de Pediatria (Ed. Português. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822013000300411
Resumo: OBJECTIVE To present a case of a patient with clinical and radiological features of reexpansion pulmonary edema, a rare and potentially fatal disease. CASE DESCRIPTION An 11-year-old boy presenting fever, clinical signs and radiological features of large pleural effusion initially treated as a parapneumonic process. Due to clinical deterioration he underwent tube thoracostomy, with evacuation of 3,000 mL of fluid; he shortly presented acute respiratory insufficiency and needed mechanical ventilation. He had an atypical evolution (extubated twice with no satisfactory response). Computerized tomography findings matched those of reexpansion edema. He recovered satisfactorily after intensive care, and pleural tuberculosis was diagnosed afterwards. COMMENTS Despite its rareness in the pediatric population (only five case reports gathered), the knowledge of this pathology and its prevention is very important, due to high mortality rates. It is recommended, among other measures, slow evacuation of the pleural effusion, not removing more than 1,500 mL of fluid at once.
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spelling Reexpansion pulmonary edema in childrenpulmonary edemapleural effusiontuberculosis, pleuraladolescent OBJECTIVE To present a case of a patient with clinical and radiological features of reexpansion pulmonary edema, a rare and potentially fatal disease. CASE DESCRIPTION An 11-year-old boy presenting fever, clinical signs and radiological features of large pleural effusion initially treated as a parapneumonic process. Due to clinical deterioration he underwent tube thoracostomy, with evacuation of 3,000 mL of fluid; he shortly presented acute respiratory insufficiency and needed mechanical ventilation. He had an atypical evolution (extubated twice with no satisfactory response). Computerized tomography findings matched those of reexpansion edema. He recovered satisfactorily after intensive care, and pleural tuberculosis was diagnosed afterwards. COMMENTS Despite its rareness in the pediatric population (only five case reports gathered), the knowledge of this pathology and its prevention is very important, due to high mortality rates. It is recommended, among other measures, slow evacuation of the pleural effusion, not removing more than 1,500 mL of fluid at once. Sociedade de Pediatria de São Paulo2013-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822013000300411Revista Paulista de Pediatria v.31 n.3 2013reponame:Revista Paulista de Pediatria (Ed. Português. Online)instname:Sociedade de Pediatria de São Paulo (SPSP)instacron:SPSP10.1590/S0103-05822013000300021info:eu-repo/semantics/openAccessRodrigues,Antonio Lucas L.Lopes,Carlos EduardoRomaneli,Mariana Tresoldi das N.Fraga,Andrea de Melo A.Pereira,Ricardo MendesTresoldi,Antonia Teresinhaeng2015-07-31T00:00:00Zoai:scielo:S0103-05822013000300411Revistahttps://www.rpped.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.phppediatria@spsp.org.br||rpp@spsp.org.br1984-04620103-0582opendoar:2015-07-31T00:00Revista Paulista de Pediatria (Ed. Português. Online) - Sociedade de Pediatria de São Paulo (SPSP)false
dc.title.none.fl_str_mv Reexpansion pulmonary edema in children
title Reexpansion pulmonary edema in children
spellingShingle Reexpansion pulmonary edema in children
Rodrigues,Antonio Lucas L.
pulmonary edema
pleural effusion
tuberculosis, pleural
adolescent
title_short Reexpansion pulmonary edema in children
title_full Reexpansion pulmonary edema in children
title_fullStr Reexpansion pulmonary edema in children
title_full_unstemmed Reexpansion pulmonary edema in children
title_sort Reexpansion pulmonary edema in children
author Rodrigues,Antonio Lucas L.
author_facet Rodrigues,Antonio Lucas L.
Lopes,Carlos Eduardo
Romaneli,Mariana Tresoldi das N.
Fraga,Andrea de Melo A.
Pereira,Ricardo Mendes
Tresoldi,Antonia Teresinha
author_role author
author2 Lopes,Carlos Eduardo
Romaneli,Mariana Tresoldi das N.
Fraga,Andrea de Melo A.
Pereira,Ricardo Mendes
Tresoldi,Antonia Teresinha
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Rodrigues,Antonio Lucas L.
Lopes,Carlos Eduardo
Romaneli,Mariana Tresoldi das N.
Fraga,Andrea de Melo A.
Pereira,Ricardo Mendes
Tresoldi,Antonia Teresinha
dc.subject.por.fl_str_mv pulmonary edema
pleural effusion
tuberculosis, pleural
adolescent
topic pulmonary edema
pleural effusion
tuberculosis, pleural
adolescent
description OBJECTIVE To present a case of a patient with clinical and radiological features of reexpansion pulmonary edema, a rare and potentially fatal disease. CASE DESCRIPTION An 11-year-old boy presenting fever, clinical signs and radiological features of large pleural effusion initially treated as a parapneumonic process. Due to clinical deterioration he underwent tube thoracostomy, with evacuation of 3,000 mL of fluid; he shortly presented acute respiratory insufficiency and needed mechanical ventilation. He had an atypical evolution (extubated twice with no satisfactory response). Computerized tomography findings matched those of reexpansion edema. He recovered satisfactorily after intensive care, and pleural tuberculosis was diagnosed afterwards. COMMENTS Despite its rareness in the pediatric population (only five case reports gathered), the knowledge of this pathology and its prevention is very important, due to high mortality rates. It is recommended, among other measures, slow evacuation of the pleural effusion, not removing more than 1,500 mL of fluid at once.
publishDate 2013
dc.date.none.fl_str_mv 2013-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822013000300411
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0103-05822013000300021
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade de Pediatria de São Paulo
publisher.none.fl_str_mv Sociedade de Pediatria de São Paulo
dc.source.none.fl_str_mv Revista Paulista de Pediatria v.31 n.3 2013
reponame:Revista Paulista de Pediatria (Ed. Português. Online)
instname:Sociedade de Pediatria de São Paulo (SPSP)
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reponame_str Revista Paulista de Pediatria (Ed. Português. Online)
collection Revista Paulista de Pediatria (Ed. Português. Online)
repository.name.fl_str_mv Revista Paulista de Pediatria (Ed. Português. Online) - Sociedade de Pediatria de São Paulo (SPSP)
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