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Respiratory distress in a preterm baby
  1. Simona Turcu,
  2. Quen Mok
  1. PICU, Great Ormond Street Hospital, London, UK
  1. Correspondence to Simona Turcu, PICU, Great Ormond Street Hospital, London, UK; sfturcu{at}googlemail.com

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A 30-week preterm baby born by emergency caesarean section because of placenta praevia and antepartum haemorrhage was ventilated from birth and had repeated reintubations. By day 7 ventilation became difficult and on day 12 was transferred to a tertiary centre for escalation of ventilatory support. The transfer diagnosis was sepsis and pulmonary hypertension. Review of the chest x-rays (figures 1 and 2) shows pneumomediastinum not seen on previous …

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