title: [Iatrogenic pleuropneumonia as a complication of nutritional treatment of preterm-delivery newborn].
abstract: Our study presents a case of pleuropneumonia caused by a leak of nutritional formula to pleural cavity, which was caused by perforation of the oesophagus. The child was born in 28 hbd with 1400 g birth weight and was fed with mother's milk by a nasogastric tube. From day 11 of life general state of the neonate worsened and on chest X-ray the contrast showed leaking into the right pleural cavity and the end of gastric tube was seen in the right lung area. With this diagnosis the child was admitted to the University Hospital in Bydgoszcz. The child was conservatively treated and in two contrast X-ray examinations there was no pathology of the oesophagus. CT of chest showed pleural empyema which was repeatedly punctured. On the 19th day of hospitalization thoracotomy with resection of interior pulmomery lobe was performed. From the 14th day after surgery, the child was again enterally fed and in good general state. He was discharged on the 51st day of hospitalization. This case should pay our attention to the fact that respiratory distress syndrome of preterm-delivery newborns may be caused by iatrogenic proceedings not only infections and lack of surfactant. Some complications can be accomplished with the nutrition treatment in every dimension.
authors.affiliation: Katedra Anestezjologii i Intensywnej Terapii, Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy Uniwersytetu Mikołaja Kopernika w Toruniu. kikanest@cm.umk.pl
authors.forename: Marlena
authors.initials: M
authors.lastname: Jakubczyk
authors.forename: Magdalena
authors.initials: M
authors.lastname: Chrzanowska
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Szkulmowski
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Apanasiewicz
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Chrupek
authors.forename: Roman
authors.initials: R
authors.lastname: Kaźmirczuk
authors.forename: Marika
authors.initials: M
authors.lastname: Reszczyńska
authors.forename: Andrzej I
authors.initials: AI
authors.lastname: Prokurat
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Kusza
mesh_terms: D016724:Empyema, Pleural / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004939:Esophageal Perforation / Q000000981:diagnostic imaging / Q000209:etiology*; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D007049:Iatrogenic Disease; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D008297:Male; D011859:Radiography; D012127:Respiratory Distress Syndrome, Newborn / Q000175:diagnosis / Q000209:etiology*