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A term female infant, born after an uneventful pregnancy with normal antenatal ultrasonography, presented at 2 hours of life with respiratory distress, requiring mechanical ventilation. Her initial chest X-ray was unremarkable (figure 1A). The blood culture at birth was positive for group B streptococcus (GBS). She improved with antibiotics, allowing extubation to continuous positive airway pressure (CPAP) on day-of-life (DOL)-4. Weaning from CPAP failed on several occasions. An ultrasound (DOL-19) showed normal function of both hemidiaphragms, but a chest X-ray showed right lung hyperdensity with pleural effusion (figure …
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