Pneumopericardium in a Newborn with Respiratory Distress and COVID-19

Authors

  • Pandih Kahayana Harancang Department of Pediatrics, Faculty of Medicine, Tarumanagara University, KRMT Wongsonegoro General Hospital Semarang, Jakarta, Indonesia
  • Jonathan Edbert Afandy Department of Pediatrics, Faculty of Medicine, Tarumanagara University, KRMT Wongsonegoro General Hospital Semarang, Jakarta, Indonesia
  • Lilia Dewiyanti Department of Pediatrics, Faculty of Medicine, Tarumanagara University, KRMT Wongsonegoro General Hospital Semarang, Jakarta, Indonesia
  • Zuhriah Hidajati Department of Pediatrics, Faculty of Medicine, Tarumanagara University, KRMT Wongsonegoro General Hospital Semarang, Jakarta, Indonesia
  • Neni Sumarni Department of Pediatrics, Faculty of Medicine, Tarumanagara University, KRMT Wongsonegoro General Hospital Semarang, Jakarta, Indonesia
  • Adriana Lukmasari Department of Pediatrics, Faculty of Medicine, Tarumanagara University, KRMT Wongsonegoro General Hospital Semarang, Jakarta, Indonesia
  • Cipta Pramana Department of Obstetrics and Gynecology, Faculty of Medicine, Tarumanagara University, KRMT Wongsonegoro General Hospital Semarang, Jakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.8215

Keywords:

Pneumopericardium, Respiratory distress, COVID-19

Abstract

BACKGROUND: Pneumopericardium (PPC) is one of the rarest pulmonary air leak syndromes, but the incidence is the highest in the neonatal period. Risk factors include premature infants with respiratory distress (RD) syndrome, receiving active resuscitation, meconium aspiration syndrome, and aggressive mechanical ventilation. Several cases have also been reported related to COVID-19.

CASE PRESENTATION: We report a case of a female newborn with a birth weight of 3300 grams a COVID-19 confirmed 35-year-old G3P2A0 mother. The baby was not crying at born and the amniotic fluid was stained green. The baby experienced RD and was intubated. A babygram was performed at the age of 5 h with the impression of a too deep endotracheal tube, neonatal pneumonia, and PPC. COVID-19 RT-PCR examination of the baby was positive. There were no signs of cardiac tamponade, so it was decided to take conservative and supportive management.

CONCLUSION: Resolution of PPC was found on repeated babygram 26 h later. The baby was then discharged after 19 days of treatment.

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References

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Published

2022-01-19

How to Cite

1.
Harancang PK, Afandy JE, Dewiyanti L, Hidajati Z, Sumarni N, Lukmasari A, Pramana C. Pneumopericardium in a Newborn with Respiratory Distress and COVID-19. Open Access Maced J Med Sci [Internet]. 2022 Jan. 19 [cited 2024 Mar. 29];10(C):55-8. Available from: https://oamjms.eu/index.php/mjms/article/view/8215

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Case Report in Pediatrics

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