Bilateral consolidation of the lungs in a preterm infant: an unusual central venous catheter complication.
We describe a case of bilateral parenchymal consolidation with sudden respiratory distress in a preterm baby as a complication of peripherally inserted central catheter (PICC) dislocation. The X-rays showed bilateral pulmonary consolidation with the catheter tip initially located in the right, and later in the left pulmonary artery. The catheter was withdrawn. As soon as the catheter was repositioned all clinical signs and symptoms disappeared. Neonatologists should consider the possibility of dramatic respiratory distress deriving from PICC dislocation. Careful tip catheter placement and conscientious monitoring may reduce morbidity.
Pignotti
Maria Serenella
MS
Department of Pediatrics, Neonatal Intensive Care Unit, Meyer Children's Hospital, University of Florence, Florence, Italy. m.pignotti@meyer.it
Messineo
Antonio
A
Indolfi
Giuseppe
G
Donzelli
Gianpaolo
G
D000142:Acidosis, Respiratory / Q000209:etiology; D001784:Blood Gas Analysis / Q000379:methods; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D004868:Equipment Failure; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008168:Lung / Q000000981:diagnostic imaging* / Q000503:physiopathology*; D010288:Parenteral Nutrition / Q000379:methods; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011859:Radiography; D012121:Respiration, Artificial / Q000379:methods; D012127:Respiratory Distress Syndrome, Newborn / Q000209:etiology*