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Case Reports |

SPONTANEOUS PNEUMOTHORAX IN THE NEW-BORN

BENJAMIN M. GASUL, M.D.; HARRY A. SINGER, M.D.
Am J Dis Child. 1933;45(5):1050-1055. doi:10.1001/archpedi.1933.01950180122011.
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Judging from the published reports, pneumothorax in the new-born is rare. In a recent article, Stein1 described a case of pneumothorax in an infant and, after "an exhaustive review of the literature in all languages indexed at the New York medical libraries," was able to find only four previous instances. Stein's patient presented evidences of a right-sided penumothorax, first noted at the age of 1 week. At the time the report was made the child was 2 years old and still gave typical physical and roentgenologic signs of air in the thoracic cavity. Cyanosis and dyspnea were at no time prominent. Ruge2 recorded an instance of pneumothorax in a new-born infant in 1878. Autopsy showed an irregular tear of the pleura, 3 cm. long. Since birth occurred by breech presentation in this case, the author thought that the infant aspirated meconium during the delivery, which led to a

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