[Secondary right-sided diaphragmatic hernia following neonatal group B Streptococcal septicaemia in a preterm infant].
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.
Vedel-Werts
F
F
Service de réanimation néonatale, maternité régionale et universitaire, 54042 Nancy cedex, France.
Desandes
R
R
Rouabah
M
M
Bach
P
P
de Miscault
G
G
Hascoët
J-M
JM
Hamon
I
I
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