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Published on: November 10, 2023
Bilateral reexpansion pulmonary edema associated with pleural empyema: a case report
Muhammet Sukru Paksu1, Sule Paksu, Muhammet Akgün
1Department of Pediatrics, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey. sukrupaksu@yahoo.com
Insights
Rapid lung reexpansion can cause rare but serious pulmonary edema. This case highlights a fatal outcome in a child with pneumonia and pleural empyema, emphasizing the risks of reexpansion pulmonary edema.
Area of Science:
- Medicine
- Pulmonology
- Pediatrics
Background:
- Reexpansion pulmonary edema is a rare complication after lung reexpansion.
- Risk factors include prolonged collapse, large fluid/air drainage, and rapid drainage.
- Prognosis is generally favorable with supportive care.
Abstract:
Reexpansion pulmonary edema is an uncommon complication following rapid reexpansion of the lungs. The risk increases with a prolonged duration of pulmonary collapse, the amount of drained liquid or air, and with decreased time of draining. Treatment is supportive. In general, the prognosis is favorable. A nine-year-old boy was presented with fever, cough, and respiratory distress. Pneumonia and left-sided pleural empyema were determined and a chest tube was emplaced. Clinical deterioration occurred in just a few minutes following chest tube insertion. His chest radiography revealed a pulmonary edema in the left lung. Despite mechanical ventilation, antibiotics, and diuretic treatment, no significant improvement occurred. Acute respiratory distress syndrome and multiple organ dysfunctions developed in the follow-up. The patient died on day 5 of hospitalization. In this report, a complicated reexpansion pulmonary edema with a lathal outcome in a 9-year-old child is presented.
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