Neonatal pneumonia

Case contributed by Jeremy Jones
Diagnosis almost certain

Presentation

Term baby. Respiratory distress requiring intubation.

Patient Data

Age: Neonate (day 0)
Gender: Male
x-ray
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Info

Extensive bilateral (right greater than left) streaky interstitial pulmonary opacities with airspace opacification at the right base. Features are non-specific.

Day 1

x-ray
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48 hours later, there has been an improvement in appearances with reduction in the degree of basal opacification.

Case Discussion

Appearances here are non-specific and gathering of appropriate history is key. Raised inflammatory markers were present and following treatment with antibiotics, ventilation was reduced and the patient was extubated on day 4 and made an uneventful recovery.

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