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Combination Therapy with Etilefrine and Pleurodesis for Refractory Congenital Chylothorax
Yutaro Tomobe1, Uiko Mizuguchi1, Akihiro Shimotakahara2
1Division of Neonatology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
Abstract:
Etilefrine, a sympathomimetic agent, is reportedly effective against postoperative chylothorax. However, its effectiveness in treating congenital chylothorax was unknown. We report herein a case of refractory congenital chylothorax treated with etilefrine in a late preterm neonate with massive fetal chylous pleural effusion. The chylothorax was unresponsive to previous treatments, including dietary and pharmacological treatment and thoracic duct ligation. The pleural effusion decreased after intravenous etilefrine was begun on day of life (DOL) 84 and resolved after the addition of chemical pleurodesis with OK-432 on DOL 90. This combination therapy may be a viable treatment option for cases of congenital chylothorax that are unresponsive to other treatments.
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Pleural Effusion II: Symptoms and Management
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
Pneumothorax-II
Clinical Manifestations:
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Assessment:
1. Clinical Evaluation:
History:
Endoscopic Studies II: Thoracocentesis
Description
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Purpose
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