Primary pulmonary lymphangiectasis in a premature infant: resolution following intensive care.
Primary pulmonary lymphangiectasis is a rare disease, often described as fatal within the neonatal period. We report on an infant who developed severe bilateral chylous pleural effusions with computed tomography (CT) features of pulmonary lymphangiectasis. She recovered spontaneously with supportive treatment only. We discuss aspects of her intensive care which might have contributed to the good outcome, and conclude that modern intensive care may allow spontaneous recovery in conditions described in the literature as having a very poor outcome.
Scott
C
C
Winnicott Baby Unit, St. Mary's Hospital, London, UK.
Wallis
C
C
Dinwiddie
R
R
Owens
C
C
Coren
M
M
D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D015931:Intensive Care, Neonatal; D008171:Lung Diseases / Q000151:congenital* / Q000000981:diagnostic imaging / Q000628:therapy*; D008200:Lymphangiectasis / Q000151:congenital* / Q000000981:diagnostic imaging / Q000628:therapy*; D011379:Prognosis; D012075:Remission, Spontaneous; D014057:Tomography, X-Ray Computed