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Povidone-iodine pleurodesis for congenital chylothorax of the newborn
  1. Bernhard Resch1,2,
  2. Thomas Freidl2,
  3. Friedrich Reiterer2
  1. 1Research Unit for Neonatal Infectious Diseases and Epidemiology, Medical University of Graz, Graz, Austria
  2. 2Division of Neonatology, Department of Paediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria
  1. Correspondence to Dr Bernhard Resch, Klinische Abteilung für Neonatologie, Univ. Klinik für Kinder- und Jugendheilkunde, Medizinische Universität Graz, Österreich, Auenbruggerplatz 34/2, Graz 8036, Austria; bernhard.resch{at}medunigraz.at

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Chemical pleurodesis with povidone-iodine (PVI) in neonates has been first described by Brissaud et al1 in four cases of congenital chylothorax (CCT). Since this report, a few more cases of PVI pleurodesis have been reported in the literature.2–5 Adding our own experience of a fatal case of CCT with histologically proven pulmonary lymphangiectasis, we aimed to summarise the current evidence for PVI pleurodesis in case of CCT by means of a literature review.

We report the case of a preterm infant (29 weeks’ gestational age, birth weight 1530 g) born by caesarean section (antenatal steroids were given 17 days before birth; Apgar scores at 1/5/10 min were 4/7/7, respectively) with bilateral pleural effusions requiring chest …

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