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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 …
HE and MI contributed equally.
Contributors All authors have made a substantial contribution in the development of this paper and have agreed to the submission of this manuscript in its present form.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Patient consent for publication Parental/guardian consent obtained.