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May 1986, Vol 140, No. 5 >
Article | May 1986

Escherichia coli Empyema in the Newborn FREE

EDWARD E. GUSTAVSON, MD
Am J Dis Child. 1986;140(5):408. doi:10.1001/archpedi.1986.02140190018005.
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Sir.—Spontaneous pyopneumothorax was reported in only six patients from 1946 to 1958; only two survived, with the mortality attributed to late recognition of this complication of pneumonia.1

Patient Report.—This 3,347-g male infant was born following a normal term pregnancy to a mother (gravida 2) with a healthy living child. Meconium-stained fluid was identified at delivery. Apgar scores were 7 and 9 at one and five minutes, respectively. The infant was intubated and Chest roentgenogram showing right-sided tension pneumothorax and fine perihilar infiltrates in patient at 6 hours of age. suctioned until tracheal fluid was clear. Respiratory distress was noted when he was 4 hours old. A chest roentgenogram revealed a right-sided tension pneumothorax (Figure). Acidosis and hypoxia responded to chest tube placement. Copious purulent fluid, with gram-negative bacilli, was obtained. Ampicillin sodium (200 mg/kg/day), gentamicin sulfate (5 mg/kg/day), and nafcillin sodium (100 mg/kg/day) were given. Continuous 15–cm

REFERENCES

1 +
Hendren EH III, Haggerty RJ:  Staphylococcal pneumonia in infancy and childhood . JAMA 1958;;168:6.
2 +
Siegel JD, McCracken GH Jr:  Neonatal lung abscess: A report of six cases . AJDC 1979;;133: 947-949.
3 +
Kuhn JP, Lee SB:  Pneumatoceles associated with Escherichia coli pneumonias in the newborn . Pediatrics 1973;;51:1008-1011.
4 +
Geley L, Hartl H:  Pleuropulmonary suppuration in neonates and infants . Prog Pediatr Surg 1972;;4:29-61.
5 +
Rosenkranz A:  Zur Frühdiagnose and Therapie des frühkindlichen Empyems . Padiatr Padol 1972;;7:344-352.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Hendren EH III, Haggerty RJ:  Staphylococcal pneumonia in infancy and childhood . JAMA 1958;;168:6.
2 +
Siegel JD, McCracken GH Jr:  Neonatal lung abscess: A report of six cases . AJDC 1979;;133: 947-949.
3 +
Kuhn JP, Lee SB:  Pneumatoceles associated with Escherichia coli pneumonias in the newborn . Pediatrics 1973;;51:1008-1011.
4 +
Geley L, Hartl H:  Pleuropulmonary suppuration in neonates and infants . Prog Pediatr Surg 1972;;4:29-61.
5 +
Rosenkranz A:  Zur Frühdiagnose and Therapie des frühkindlichen Empyems . Padiatr Padol 1972;;7:344-352.

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