Progressive Chest Radiographic Changes in Wet Lung Disease
ABSTRACT Delayed clearance of fetal lung fluid, or wet lung disease (WLD), is a common, well described clinico-radiographic diagnosis. Unusual chest roentgenographic findings in six infants with WLD are reported. All infants had either delayed development of pleural fluid collections or transient ap...
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Veröffentlicht in: | American journal of perinatology 1985-07, Vol.2 (3), p.198-203 |
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creator | Glasier, Charles M. Ramirez, Rosa E. Null, Donald M. |
description | ABSTRACT
Delayed clearance of fetal lung fluid, or wet lung disease (WLD), is a common, well described clinico-radiographic diagnosis. Unusual chest roentgenographic findings in six infants with WLD are reported. All infants had either delayed development of pleural fluid collections or transient apparent worsening of pulmonary parenchymal infiltrates simulating infection. Five of the six patients were treated with antibiotics. The patients were clinically well, radiographically normal, and culture negative by 72 hours. Our findings suggest that worsening of pulmonary parenchymal opacities and the appearance of pleural effusions can be part of the WLD spectrum. An initial radio-graphic impression of neonatal pneumonia can be changed to WLD and antibiotics stopped after 72 hours if subsequent radiographs show clearing, cultures are negative, and clinical findings resolve as they did in our patients. |
doi_str_mv | 10.1055/s-2007-999948 |
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Delayed clearance of fetal lung fluid, or wet lung disease (WLD), is a common, well described clinico-radiographic diagnosis. Unusual chest roentgenographic findings in six infants with WLD are reported. All infants had either delayed development of pleural fluid collections or transient apparent worsening of pulmonary parenchymal infiltrates simulating infection. Five of the six patients were treated with antibiotics. The patients were clinically well, radiographically normal, and culture negative by 72 hours. Our findings suggest that worsening of pulmonary parenchymal opacities and the appearance of pleural effusions can be part of the WLD spectrum. An initial radio-graphic impression of neonatal pneumonia can be changed to WLD and antibiotics stopped after 72 hours if subsequent radiographs show clearing, cultures are negative, and clinical findings resolve as they did in our patients.</description><identifier>ISSN: 0735-1631</identifier><identifier>EISSN: 1098-8785</identifier><identifier>DOI: 10.1055/s-2007-999948</identifier><identifier>PMID: 4015767</identifier><identifier>CODEN: AJPEEK</identifier><language>eng</language><publisher>New York, NY: Thieme</publisher><subject>Biological and medical sciences ; Diagnosis, Differential ; Humans ; Infant, Newborn ; Lung - embryology ; Lung - secretion ; Male ; Medical sciences ; ORIGINAL ARTICLE ; Pleural Effusion - diagnostic imaging ; Pneumology ; Pneumonia - diagnostic imaging ; Radiography ; Respiratory Distress Syndrome, Newborn - diagnostic imaging ; Respiratory system : syndromes and miscellaneous diseases ; Time Factors</subject><ispartof>American journal of perinatology, 1985-07, Vol.2 (3), p.198-203</ispartof><rights>1985 by Thieme Medical Publishers, Inc.</rights><rights>1986 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2007-999948.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1055/s-2007-999948$$EHTML$$P50$$Gthieme$$H</linktohtml><link.rule.ids>314,780,784,3017,3018,27924,27925,54559,54560</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=8652004$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/4015767$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Glasier, Charles M.</creatorcontrib><creatorcontrib>Ramirez, Rosa E.</creatorcontrib><creatorcontrib>Null, Donald M.</creatorcontrib><title>Progressive Chest Radiographic Changes in Wet Lung Disease</title><title>American journal of perinatology</title><addtitle>Amer J Perinatol</addtitle><description>ABSTRACT
Delayed clearance of fetal lung fluid, or wet lung disease (WLD), is a common, well described clinico-radiographic diagnosis. Unusual chest roentgenographic findings in six infants with WLD are reported. All infants had either delayed development of pleural fluid collections or transient apparent worsening of pulmonary parenchymal infiltrates simulating infection. Five of the six patients were treated with antibiotics. The patients were clinically well, radiographically normal, and culture negative by 72 hours. Our findings suggest that worsening of pulmonary parenchymal opacities and the appearance of pleural effusions can be part of the WLD spectrum. An initial radio-graphic impression of neonatal pneumonia can be changed to WLD and antibiotics stopped after 72 hours if subsequent radiographs show clearing, cultures are negative, and clinical findings resolve as they did in our patients.</description><subject>Biological and medical sciences</subject><subject>Diagnosis, Differential</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Lung - embryology</subject><subject>Lung - secretion</subject><subject>Male</subject><subject>Medical sciences</subject><subject>ORIGINAL ARTICLE</subject><subject>Pleural Effusion - diagnostic imaging</subject><subject>Pneumology</subject><subject>Pneumonia - diagnostic imaging</subject><subject>Radiography</subject><subject>Respiratory Distress Syndrome, Newborn - diagnostic imaging</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Time Factors</subject><issn>0735-1631</issn><issn>1098-8785</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1LAzEQhoMotVaPHoU9iCdX87HZJN6kfkJBkYLHkGZn20i7WzNdwX9vSpfenMvAzMM7w0PIOaM3jEp5izmnVOUmVaEPyJBRo3OttDwkQ6qEzFkp2DE5QfyilHFN9YAMCsqkKtWQ3L3Hdh4BMfxANl4AbrIPV4U0c-tF8GnkmjlgFprsEzbZpGvm2UNAcAin5Kh2S4Szvo_I9OlxOn7JJ2_Pr-P7Se45lzpnVT2Txkg9U3VVOF7UANporkuhqPFClNTV2kMhjJpRIYAWXLDSM8240V6MyNUudh3b7y49aFcBPSyXroG2Q6tKTgtRqgTmO9DHFjFCbdcxrFz8tYzarSqLdqvK7lQl_qIP7mYrqPZ07ybtL_u9Q--WdXSND7jHdClTWpGw6x22WQRYgf1qu9gkH_9c_QN4cHwj</recordid><startdate>198507</startdate><enddate>198507</enddate><creator>Glasier, Charles M.</creator><creator>Ramirez, Rosa E.</creator><creator>Null, Donald M.</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198507</creationdate><title>Progressive Chest Radiographic Changes in Wet Lung Disease</title><author>Glasier, Charles M. ; Ramirez, Rosa E. ; Null, Donald M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2258-1dfb59958b7fd4a24fee8982863709c3360af8ce4397b033e042316c181298c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1985</creationdate><topic>Biological and medical sciences</topic><topic>Diagnosis, Differential</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Lung - embryology</topic><topic>Lung - secretion</topic><topic>Male</topic><topic>Medical sciences</topic><topic>ORIGINAL ARTICLE</topic><topic>Pleural Effusion - diagnostic imaging</topic><topic>Pneumology</topic><topic>Pneumonia - diagnostic imaging</topic><topic>Radiography</topic><topic>Respiratory Distress Syndrome, Newborn - diagnostic imaging</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Glasier, Charles M.</creatorcontrib><creatorcontrib>Ramirez, Rosa E.</creatorcontrib><creatorcontrib>Null, Donald M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Glasier, Charles M.</au><au>Ramirez, Rosa E.</au><au>Null, Donald M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Progressive Chest Radiographic Changes in Wet Lung Disease</atitle><jtitle>American journal of perinatology</jtitle><addtitle>Amer J Perinatol</addtitle><date>1985-07</date><risdate>1985</risdate><volume>2</volume><issue>3</issue><spage>198</spage><epage>203</epage><pages>198-203</pages><issn>0735-1631</issn><eissn>1098-8785</eissn><coden>AJPEEK</coden><abstract>ABSTRACT
Delayed clearance of fetal lung fluid, or wet lung disease (WLD), is a common, well described clinico-radiographic diagnosis. Unusual chest roentgenographic findings in six infants with WLD are reported. All infants had either delayed development of pleural fluid collections or transient apparent worsening of pulmonary parenchymal infiltrates simulating infection. Five of the six patients were treated with antibiotics. The patients were clinically well, radiographically normal, and culture negative by 72 hours. Our findings suggest that worsening of pulmonary parenchymal opacities and the appearance of pleural effusions can be part of the WLD spectrum. An initial radio-graphic impression of neonatal pneumonia can be changed to WLD and antibiotics stopped after 72 hours if subsequent radiographs show clearing, cultures are negative, and clinical findings resolve as they did in our patients.</abstract><cop>New York, NY</cop><pub>Thieme</pub><pmid>4015767</pmid><doi>10.1055/s-2007-999948</doi><tpages>6</tpages></addata></record> |
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subjects | Biological and medical sciences Diagnosis, Differential Humans Infant, Newborn Lung - embryology Lung - secretion Male Medical sciences ORIGINAL ARTICLE Pleural Effusion - diagnostic imaging Pneumology Pneumonia - diagnostic imaging Radiography Respiratory Distress Syndrome, Newborn - diagnostic imaging Respiratory system : syndromes and miscellaneous diseases Time Factors |
title | Progressive Chest Radiographic Changes in Wet Lung Disease |
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