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DAVID S. JARDINE, MD
Department of Anesthesiology Children's Hospital and Medical Center University of Washington 4800 Sand Point Way NE Seattle, WA 98105

Am J Dis Child. 1991;145(10):1092-1094.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Sir.—Reexpansion pulmonary edema (REPE) is an uncommon problem that afflicts the reexpanded lung after evacuation of a large pneumothorax or pleural effusion. There are many accounts of REPE occurring in adults, but to my knowledge, this problem has not been reported in the pediatric population. A boy is described in whom severe unilateral pulmonary edema occurred after evacuation of a large pleural effusion.

Patient Report.—An 8-year-old boy weighing 40 kg was admitted for treatment of steroid-resistant nephrotic syndrome. He had no previous neurologic abnormality. The patient's medical history was remarkable for multiple bouts of infection, including a right-sided pneumococcal pneumonia 3 months before admission. One month after the pneumonia, he underwent a right pleural decortication because of recurrent pleural effusion. Two weeks before admission, a chest roentgenogram showed moderate right- and left-sided pleural effusions. During these 2 weeks, he experienced worsening shortness of breath.

On admission, the patient . . . [Full Text PDF of this Article]

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