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A male infant who had been delivered by elective cesarean section to a healthy 41-year-old woman at 38 weeks' gestation presented at 23 hours of age with increasing respiratory distress. Although well at birth, he began to have respiratory distress shortly afterward and required increasing concentrations of oxygen (maximal fractional concentration of oxygen in inspired gas, 70 percent) before being transferred to our facility. Blood cultures taken at the referring hospital were sterile after 48 hours of incubation. Chest x-ray films obtained on admission to our facility showed a large quantity of air in the mediastinum (Panels A and B), . . . [Full Text of this Article] |
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