Chylothorax of the Newborn

Arch Surg. 1976;111(4):499. doi:10.1001/archsurg.1976.01360220195034.
Text Size: A A A
Published online

To the Editor.–Since the presence of an infection of the pleural space in congenital chylothorax is unusual, the case reported by Bensoussan et al in the October issue of the Archives (110:1243-1245, 1975) complicated by a chylous empyema deserves comment. Of the 34 cases we reviewed, only three patients had fever during their hospital course and none reported infected lymphatic fluid obtained from the pleural space.1,2 Though the authors stated that the "bilateral chylothorax reappeared," they did not report the lipid content of the fluid from which Staphylococcus aureus was cultured.

Prognosis appears to be related to the size of the effusion and not to the presence or absence of bilaterality, as the authors intimate in the discussion. In the cases we reviewed, none of the 15 patients with a so-called mild chylothorax treated by thoracentesis alone died, whereas three of seven patients with "severe" chylothorax treated by


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.