RESUMO
Iatrogenic diaphragmatic hernia is rare in children and we report a preterm low birth weight neonate with a presumably acquired diaphragmatic hernia due to trauma caused by treatment following pneumothorax.
Assuntos
Hérnia Diafragmática Traumática/diagnóstico , Hérnia Diafragmática Traumática/terapia , Recém-Nascido de Baixo Peso , Recém-Nascido Prematuro , Feminino , Hérnia Diafragmática Traumática/etiologia , Humanos , Recém-Nascido , Pneumotórax/complicações , Pneumotórax/diagnóstico , Pneumotórax/terapiaRESUMO
Haemophagocytic lymphohistiocytosis (HLH) is a potentially fatal, hyper inflammatory condition which is caused by a highly stimulated but ineffective immune response. We are presenting here, a case of HLH which occurred in a 45 day infant. Presence of lung cavity and a lytic bone lesion in the skull, as was seen in this case, have not been reported in HLH in the literature. This raises a possibility of a simultaneous occurrence of HLH and Langerhans cell histiocytosis. In a child who presents with septicaemia but does not respond to treatment, the possibility of HLH needs to be considered.