Parida Lalit
Department of Pediatric Surgery, GMC Hospital, Gulf Medical University, Ajman, United Arab Emirates.
J Indian Assoc Pediatr Surg. 2016 Apr-Jun;21(2):87-9. doi: 10.4103/0971-9261.176970.
A full-term male neonate was initially managed for respiratory distress which developed few hours after birth. His initial chest radiograph was normal, and blood culture revealed Group B streptococcal (GBS) sepsis. He subsequently developed progressive right chest opacification that did not improve with medical management. Imaging done few days later revealed right-sided diaphragmatic hernia. The 12-day-old neonate underwent primary repair of the diaphragmatic defect and had an uneventful recovery. This case report intends to highlight this unique association between early onset GBS sepsis and delayed onset of the right congenital diaphragmatic hernia.
一名足月儿男婴出生后数小时出现呼吸窘迫,最初接受相应治疗。其初始胸部X线片正常,血培养显示B族链球菌(GBS)败血症。随后,他出现进行性右胸致密影,经药物治疗无改善。数天后的影像学检查显示右侧膈疝。这名12日龄的新生儿接受了膈缺损一期修补术,恢复过程顺利。本病例报告旨在强调早发性GBS败血症与右侧先天性膈疝延迟发作之间的这种独特关联。