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Pneumothorax - infants - Symptom

Alternative Names

Air leak syndrome

Symptoms:

Many infants with pneumothorax do not have symptoms. When symptoms do occur, they can include:

  • Bluish skin color (cyanosis)
  • Fast breathing
  • Flaring of the nostrils
  • Grunting with breathing
  • Irritability
  • Restlessness
  • Use of other chest and abdominal muscles to aid breathing (retractions)

Signs and tests:

The nurses and doctors may have difficulty hearing breath sounds when listening to the infant' s lungs with a stethoscope. The heart or lung sounds may seem as if they are coming from a different part of the chest than normal.

Tests for pneumothorax include:

  • Chest x-ray
  • Light probe placed against the baby' s chest, also known as "transillumination" (pockets of air will show up as lighter areas)
  • Reviewed last on: 1/28/2010
  • Kimberly G. Lee, MD, MSc, IBCLC, Associate Professor of Pediatrics, Division of Neonatology, Medical University of South Carolina, Charleston, SC. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Dudell GG, Stoll BJ. Respiratory tract disorders. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 101.

Hermansen CL, Lorah KN. Respiratory distress in the newborn. Am Fam Physician. 2007;76:987-994.

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