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Acta pediatr. esp ; 63(6): 248-251, jun. 2005. ilus
Article in Es | IBECS | ID: ibc-038994

ABSTRACT

Se presenta el caso de un recién nacido atendido en el Servicio de Pediatría del Hospital Regional Universitario «Carlos Haya» por sepsis y enfermedad respiratoria, que desarrolló coagulopatía y shock en los primeros días, por lo que se le instauró antibioticoterapia y ventilación mecánica. La bronconeumonía inicial cursó con derrame pleural e imágenes persistentemente alteradas del hemidiafragma derecho. Al final y mediante ecografía, se estableció el diagnóstico de hernia diafragmática congénita derecha. Una vez superado el problema infeccioso, fue intervenido quirúrgicamente con éxito


We present the case of a newborn, treated in our unit for sepsis and respiratory disease. In his first few days of life, he developed coagulopathy and shock, requiring antibiotics and mechanical ventilation. The initial bronchopneumonia was associated with pleural effusion, and the imaging studies repeatedly revealed a defect in right hemidiaphragm that proved to be a congenital diaphragmatic hernia on ultrasound. Once the infection resolved, surgical repair was successfully performed


Subject(s)
Infant, Newborn , Male , Humans , Hernia, Diaphragmatic/congenital , Hernia, Diaphragmatic/surgery , Hernia, Diaphragmatic/diagnosis , Sepsis/complications , Sepsis/diagnosis , Streptococcus/isolation & purification , Respiration, Artificial/methods , Vitamin K/therapeutic use , Ampicillin/therapeutic use , Bronchopneumonia/complications , Bronchopneumonia/diagnosis , Pleural Effusion/complications , Pleural Effusion/diagnosis , Thorax , Cefotaxime/therapeutic use
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