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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 337:916-924 September 25, 1997 Number 13
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Case 30-1997— A Preterm Newborn Female Triplet with Diffuse Cystic Changes in the Left Lung
Jay M. Wilson, and Eugene J. Mark

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Presentation of Case

An 18-day-old girl was admitted to the hospital because of a left pneumothorax and cystic changes in the left lung.

The infant was a triplet, born by cesarean section to a 36-year-old mother after a 32-week gestation. The Apgar score was 9 at one and five minutes, and the birth weight was 1535 g (40th percentile for gestational age). The patient had mild respiratory distress and required nasal continuous positive airway pressure for two days. The findings on a radiograph of the chest were compatible with mild respiratory distress syndrome. Theophylline was given for periodic apnea and bradycardia, and gavage . . . [Full Text of this Article]

Differential Diagnosis

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Dr. Jay M. Wilson's Diagnosis

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Related Letters:

Case 30-1997: Pulmonary Interstitial Emphysema in Infancy
Fox R. B., Wright A. M., Lefebvre F., Roll C., Hanssler L., Voit T., Wilson J. M.
Extract | Full Text  
N Engl J Med 1998; 338:688-690, Mar 5, 1998. Correspondence

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