title: [Secondary right-sided diaphragmatic hernia following neonatal group B Streptococcal septicaemia in a preterm infant].
abstract: We report on a case of a secondary right-sided diaphragmatic hernia following group B streptococcal (GBS) septicaemia in a very low birth weight infant born at 30 weeks. After initial improvement, the diagnosis of a secondary right-sided diaphragmatic hernia was suspected with the persistent radiological pulmonary right-sided image on the chest x-ray and the clinical degradation. The diagnosis was confirmed by ultrasonography on day 43. The postoperative course was simple. Persistent respiratory distress in a neonate, after a GBS septicaemia associated with a right pulmonary opacity on the chest x-ray, should prompt a careful evaluation. A secondary right-sided diaphragmatic hernia should be considered. Treatment is surgery, the prognosis is good in the absence of pulmonary hypoplasia.
authors: Service de réanimation néonatale, maternité régionale et universitaire, 54042 Nancy cedex, France.
authors: F
authors: F
authors: Vedel-Werts
authors: R
authors: R
authors: Desandes
authors: M
authors: M
authors: Rouabah
authors: P
authors: P
authors: Bach
authors: G
authors: G
authors: de Miscault
authors: J-M
authors: JM
authors: Hascoët
authors: I
authors: I
authors: Hamon
mesh_terms: D005260:Female; D006548:Hernia, Diaphragmatic / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000209:etiology* / Q000473:pathology; D018805:Sepsis / Q000150:complications*; D013290:Streptococcal Infections / Q000150:complications*; D013292:Streptococcus agalactiae