Thoracic Empyema Secondary to Congenital Chylothorax in a 14-Month-Old Boy with Noonan Syndrome.
Thoracic Empyema Secondary to Congenital Chylothorax in a 14-Month-Old Boy with Noonan Syndrome.
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DOI：
10.1155/2021/6620353
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发表时间：
2021
影响因子：
0.9
通讯作者：
Hanita T
中科院分区：
文献类型：
--
作者：
Oikawa T;Ota C;Iwasawa S;Onoki T;Ikeda H;Hanita T
胸部脓胸通常是细菌性肺炎的并发症，但在极少数情况下，它是由继发于非肺部疾病的血液播散引起的。儿童先天性乳糜胸或乳糜胸与淋巴系统发育不良、胎儿非免疫性积水、唐氏综合征、Noonan综合征或Turner综合征、胸部手术并发症、中心静脉压高的右心衰竭或肿瘤有关。很少有与先前存在的乳糜胸相关的脓胸的报道。在目前的研究中，我们描述了一例罕见的胸腔脓胸合并先天性乳糜胸和瓣膜上肺狭窄合并临床诊断的努南综合征。有必要密切监测乳糜胸患者，因为他们有发生严重肺部感染的风险，如胸膜脓胸或肺脓肿。
Thoracic empyema usually occurs as a complication of bacterial pneumonia, but in rare cases, it is caused by hematogenous dissemination secondary to nonpulmonary diseases. Congenital chylothorax or chylothorax in children is associated with maldevelopment of the lymphatic system, nonimmune hydrops fetalis, several syndromes including Down syndrome, Noonan syndrome, or Turner syndrome, a complication of thoracic surgery, right heart failure with high central venous pressure, or tumors. There are very few reports of empyema associated with preexisting chylothorax. In the present study, we describe a rare case of thoracic empyema associated with congenital chylothorax and supravalvular pulmonary stenosis associated with clinically diagnosed Noonan syndrome. It is necessary to closely monitor patients with chylothorax because they are at risk of developing severe lung infections, such as pleural empyema or lung abscesses.
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影响因子：
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发表时间：
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