[A right-sided congenital diaphragmatic hernia masked by pneumonia].
A 1-day-old premature newborn (34 weeks and 6 days) presented with respiratory insufficiency due to a group B haemolytic streptococcal (GBS) pneumonia. She recovered after temporary treatment with mechanical ventilation and antibiotics. At the time of discharge there was a slight increased fogging on the right side of the chest X-ray, interpreted as residual pleural effusion. Three days later the patient was readmitted with respiratory failure and a need for respiratory support. A chest CT scan revealed a right-sided congenital diaphragmatic hernia (CDH) with a large part of the liver and intestine in the chest. The diaphragmatic defect was closed during a surgical procedure. After an uneventful recovery the patient was discharged in good clinical condition. The combination of delayed presentation of right-sided CDH and neonatal GBS infection occurs rarely but has been described. Its pathogenesis is still unclear.
Morsing
I E
IE
Universitair Medisch Centrum St Radboud, afd. Kindergeneeskunde, Postbus 9101, 6500 HB Nijmegen.
de Mol
A C
AC
van Heijst
A F J
AF
van der Staak
F H J M
FH
van Daalen
S T H
ST
Liem
K D
KD
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D005260:Female; D006548:Hernia, Diaphragmatic / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D018410:Pneumonia, Bacterial / Q000175:diagnosis* / Q000188:drug therapy; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000188:drug therapy; D013292:Streptococcus agalactiae; D013997:Time Factors; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents