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Case Reports
October 1949

SPONTANEOUS PLEURAL EFFUSION IN A NEWBORN INFANT

Author Affiliations

ALBANY, N. Y.; BRONX, N. Y.

Am J Dis Child. 1949;78(4):569-572. doi:10.1001/archpedi.1949.02030050584007
Abstract

A REVIEW of the American literature of the last forty years has revealed only 10 cases of primary pleural effusion in infants under 1 year of age. All 10 cases were reported as spontaneous chylothorax. The case reported here is the only known one of primary pleural effusion in a newborn infant in which the effusion was nonchylous.

REPORT OF A CASE  E. W. was born on Sept. 16, 1947, at the Bronx Hospital by normal spontaneous delivery. The child breathed and cried spontaneously. A physical examination fifteen hours after birth revealed no abnormalities other than severe substernal retraction on inspiration and some dulness over the right side of the chest compared with the left. A roentgenogram of the chest (fig. 1 A) was made on the second day of life. There was a shadow in the right side of the chest due to a moderate-sized pleural effusion surrounding the

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