Pneumopericardium in a Newborn with Respiratory Distress and COVID-19
DOI:
https://doi.org/10.3889/oamjms.2022.8215Keywords:
Pneumopericardium, Respiratory distress, COVID-19Abstract
BACKGROUND: Pneumopericardium (PPC) is one of the rarest pulmonary air leak syndromes, but the incidence is the highest in the neonatal period. Risk factors include premature infants with respiratory distress (RD) syndrome, receiving active resuscitation, meconium aspiration syndrome, and aggressive mechanical ventilation. Several cases have also been reported related to COVID-19.
CASE PRESENTATION: We report a case of a female newborn with a birth weight of 3300 grams a COVID-19 confirmed 35-year-old G3P2A0 mother. The baby was not crying at born and the amniotic fluid was stained green. The baby experienced RD and was intubated. A babygram was performed at the age of 5 h with the impression of a too deep endotracheal tube, neonatal pneumonia, and PPC. COVID-19 RT-PCR examination of the baby was positive. There were no signs of cardiac tamponade, so it was decided to take conservative and supportive management.
CONCLUSION: Resolution of PPC was found on repeated babygram 26 h later. The baby was then discharged after 19 days of treatment.Downloads
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Tani M, Kanazawa T, Shioji N, Shimizu K, Iwasaki T, Morimatsu H. Successful treatment with positive airway pressure ventilation for tension pneumopericardium after pericardiocentesis in a neonate: A case report. JA Clin Rep. 2020;6(1):79. https://doi.org/10.1186/s40981-020-00384-x PMid:33029685 DOI: https://doi.org/10.1186/s40981-020-00384-x
Markovic-Sovtic G, Nikolic T, Sovtic A, Martic J, Rakonjac Z. Pulmonary air leak syndrome in term and late preterm neonates. Srp Arh Celok Lek. 2019;147(9-10):578-82. DOI: https://doi.org/10.2298/SARH180411081M
Roychoudhury S, Kaur S, Soraisham AS. Neonatal pneumopericardium in a nonventilated term infant: A case report and review of the literature. Case Rep Pediatr. 2017;2017:3149370. https://doi.org/10.1155/2017/3149370 PMid:29430316 DOI: https://doi.org/10.1155/2017/3149370
Kataria-Hale J, Fernandes CJ, Speer ME. Pneumopericardium in the neonate: A case report. Perfusion. 2020;35(4):360-2. https://doi.org/10.1177/0267659119868916 PMid:31416399 DOI: https://doi.org/10.1177/0267659119868916
Satheeshkumar D, Kumaravel K, Karuna C, Hemalatha M, Sampathkumar P. A case of conservatively managed pneumopericardium in a neonate. Pediatr Oncall. 2018;15(4):114. DOI: https://doi.org/10.7199/ped.oncall.2018.41
Barrero-Castillero A, Beam KS, Bernardini LB, Ramos EG, Davenport PE, Duncan AR, et al. COVID-19: Neonatal-perinatal perspectives. J Perinatol. 2021;41(5):940-51. https://doi.org/10.1038/s41372-020-00874-x PMid:33293665 DOI: https://doi.org/10.1038/s41372-020-00874-x
Sumarni N, Dewiyanti L, Kusmanto MH, Pramana C. A case of 2019 novel Coronavirus infection in a preterm infant with severe respiratory failure. Int J Pharm Res. 2020;12(4):1935-8. DOI: https://doi.org/10.31838/ijpr/2020.12.04.278
Sahu KK, Mishra AK, Goldman Y. A rare case of pneumopericardium secondary to COVID-19. Heart Lung. 2020;49(6):679-80. https://doi.org/10.1016/j.hrtlng.2020.08.017 PMid:32861883 DOI: https://doi.org/10.1016/j.hrtlng.2020.08.017
Li S, Chau E, Ghasem W, Sohn J, Yaghmour B. Air should not be there: A case of pneumomediastinum and pneumopericardium in. Cureus. 2020;12(11):e11696. https://doi.org/10.7759/cureus.11696 PMid:33391929 DOI: https://doi.org/10.7759/cureus.11696
Singh A, Bass J, Lindner DH. Rare complication of pneumomediastinum and pneumopericardium in a patient with COVID-19 pneumonia. Case Rep Pulmonol. 2020;2020:8845256. https://doi.org/10.1155/2020/8845256 PMid:33204564 DOI: https://doi.org/10.1155/2020/8845256
Monfredini C, Cavallin F, Villani PE, Paterlini G, Allais B, Trevisanuto D. Meconium aspiration syndrome: A narrative review. Children. 2021;8(3):230. https://doi.org/10.3390/children8030230 PMid:33802887 DOI: https://doi.org/10.3390/children8030230
Junghaenel S, Sreeram N, Demant A, Vierzig A, Kribs A, Roth B. Pneumopericardium as a rare complication of continuous positive airway pressure in spontaneously breathing neonates. Klin Pädiatr. 2012;224(1):34-5. https://doi.org/10.1055/s-0031-1298025 PMid:22161563 DOI: https://doi.org/10.1055/s-0031-1298025
Suryawanshi PB, Klimek J. Preterm neonate with spontaneous pneumopericardium without any other associated air leaks. J Clin Diagn Res. 2014;8(1):181-2. https://doi.org/10.7860/JCDR/2014/5620.3945 PMid:24596765 DOI: https://doi.org/10.7860/JCDR/2014/5620.3945
Burt T, Lester P. Neontal pneumopericardim. Radiology. 1982;142(1):81-4. https://doi.org/10.1148/radiology.142.1.7053553 PMid:7053553 DOI: https://doi.org/10.1148/radiology.142.1.7053553
Vanden Berghe S, Devlies F, Seynaeve P. The spinnaker-sail sign: Neonatal pneumomediastinum. J Belg Soc Radiol. 2018;102(1):51. https://doi.org/10.5334/jbsr.1589 PMid:30155525 DOI: https://doi.org/10.5334/jbsr.1589
Cohen DJ, Baumgart S, Stephenson LW. Pneumopericardium in neonates: Is it PEEP or is it PIP? Ann Thorac Surg. 1983;35(2):179-83. https://doi.org/10.1016/s0003-4975(10)61457-9 PMid:6337571 DOI: https://doi.org/10.1016/S0003-4975(10)61457-9
Shaireen H, Rabi Y, Metcalfe A, Kamaluddeen M, Amin H, Akierman A, et al. Impact of oxygen concentration on time to resolution of spontaneous pneumothorax in term infants: A population-based cohort study. BMC Pediatr. 2014;14(1):208. https://doi.org/10.1186/1471-2431-14-208 PMid:25149271 DOI: https://doi.org/10.1186/1471-2431-14-208
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Copyright (c) 2022 Pandih Kahayana Harancang, Jonathan Edbert Afandy, Lilia Dewiyanti, Zuhriah Hidajati, Neni Sumarni, Adriana Lukmasari, Cipta Pramana (Author)
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