Presentation
Chylothorax presenting as non-immune hydrops is even rarer. We report a case of congenital bilateral chylothorax presenting as non immune hydrops and managed successfully with chemical pleurodesis. [ncbi.nlm.nih.gov]
Neonatal presentation is often respiratory distress secondary to lung compression or pulmonary hypoplasia. [scholars.duke.edu]
Entire Body System
- Streptococcal Infection
lung tumors, congenital goiter and group-B streptococcal infections (2). [ijn.mums.ac.ir]
- Soft Tissue Swelling
A repeat chest radiograph demonstrated a right pleural effusion under tension and soft tissue swelling lateral to the right chest wall (see Figure 1 ). The tissue swelling was thought to be chylous leakage through the thoracentesis site. [nature.com]
Skin
- Skin Lesion
Local cytotoxic mucosal and skin lesions have been described. 19 The only adverse effect that we considered to be possibly related to the treatment was generalised oedema, which occurred 24 hours after povidone-iodine instillation in case 3. [fn.bmj.com]
Urogenital
- Anuria
Impaired renal function causes oliguria or anuria, and subsequently hydrops.28 In CC, NIHF may develop from a combination of increased capillary filtration rate (caused by increased capillary hydrostatic pressure) and reduced lymphatic clearance that [dovepress.com]
Neurologic
- Generalized Seizure
The patient developed generalized seizure in the first hour which was controlled by phenobarbitone. Babygraph of the patient showing generalized edema, ascites and massive bilateral pleural effusion. [ncbi.nlm.nih.gov]
Workup
Conversely, increasing levels indicate a worsening condition requiring aggressive workup or treatment. LD iso enzyme analysis may be helpful in diagnosing problematic exudates but is not routinely recommended (Lossos, 1997). [passeidireto.com]
Diagnostic workup in a neonate presenting with chylothorax would be maternal, fetal, and neonatal. The aim is to exclude other causes of hydrothoraces. [ispub.com]
Treatment
The average daily drain output within 3 days post-treatment (median 62 mL, range 10-651 mL) was significantly lower than that before treatment (median 133 mL, range 70-620 mL) (P = .002). [ncbi.nlm.nih.gov]
Prognosis
CONCLUSION: The recovery from chylothorax and future prognosis were dependent on the underlying etiology. [ncbi.nlm.nih.gov]
Appropriate and effective treatment of patients with chylothorax may contribute to the prognosis and neonatal survival. [gorm.com.tr]
Etiology
CONCLUSION: The recovery from chylothorax and future prognosis were dependent on the underlying etiology. [ncbi.nlm.nih.gov]
Currently, the etiology of chylothorax is poorly understood and treatment options are limited. [onlinejacc.org]
Epidemiology
Acquired Disease. 61 Slater BJ...Rothenberg SS 25629239 2015 49 Congenital chylothorax treated with oral sildenafil: a case report and review of the literature. 61 Malleske DT...Yoder BA 25917021 2015 50 Congenital chylothorax: a prospective nationwide epidemiological [malacards.org]
Congenital chylothorax: a prospective nationwide epidemiological study in Germany. Arch Dis Child - Fetal Neonatal Ed [Internet]. 2015;100(2):F169– 72. Available from: http://fn.bmj.com/lookup/doi/10.1136/ archdischild-2014-307274. 4. Rocha G. [revistas.uis.edu.co]
Congenital chylothorax: a prospective nationwide epidemiological study in Germany. Arch Dis Child Fetal Neonatal Ed 100: 169-72. Downie L, Sasi A, Malhotra A (2014) Congenital chylothorax: associations and neonatal outcomes. [omicsonline.org]
& Wolfe, R., 1 Jan 2019, In : Epidemiology (Cambridge, Mass.). 30, 1, p. 38-47 10 p. [monash.edu]
Pathophysiology
Autopsy findings from one of these cases and others previously described suggest that the pathophysiological mechanisms involved may be variable. [ncbi.nlm.nih.gov]
Pathogenesis: The main causes of fistula Chile are effusion thoracic duct obstruction at different levels or channel its repercussions on waging tributarelor pathophysiological mechanisms depending on the level where it appears. [medicaldb.blogspot.com]
This review aims to summarize the current literature regarding pathophysiology, clinical manifestations, and management options for CC. [dovepress.com]
Question 3 Which of the following statements regarding the pathophysiology of chylothorax is INCORRECT? Chylothoraces in premature babies can occur when there is compression of the main thoracic duct. [thoracic.org]
Our observation that chylothorax is associated with secondary chest closure supports the thesis that non-specific mediastinal (lymphatic) tissue damage and postoperative impaired hemodynamics should be considered as important factors in the pathophysiology [cardiothoracicsurgery.biomedcentral.com]
Prevention
Pulmonary hypoplasia was successfully prevented by OK-432. [ncbi.nlm.nih.gov]
XENical in the prevention of diabetes in obese subjects (XENDOS) study: a randomized study of orlistat as an adjunct to lifestyle changes for the prevention of type 2 diabetes in obese patients. Diabetes Care 2004: 27(1):155-161. [books.google.es]
Page 223 - American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America: treatment of tuberculosis. Am J Respir Crit Care Med 2003;167:603-662. [books.google.com]