Zeng Y, Luo P, Zhao DR, Wang FY, Song B. Neonatal tachypnea caused by diaphragmatic paralysis: A case report. World J Clin Cases 2024; 12(22): 5253-5257 [PMID: 39109022 DOI: 10.12998/wjcc.v12.i22.5253]
Corresponding Author of This Article
Bin Song, Doctor, MD, Chief Physician, Department of Nephrology, People's Hospital of Deyang City, No. 173 Section 1, Taishan North Road, Deyang 618000, Sichuan Province, China. sb8052@126.com
Research Domain of This Article
Pediatrics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Aug 6, 2024; 12(22): 5253-5257 Published online Aug 6, 2024. doi: 10.12998/wjcc.v12.i22.5253
Neonatal tachypnea caused by diaphragmatic paralysis: A case report
Yan Zeng, Pei Luo, Di-Ran Zhao, Feng-Yang Wang, Bin Song
Yan Zeng, Feng-Yang Wang, Department of Pediatrics, People's Hospital of Deyang City, Deyang 618000, Sichuan Province, China
Pei Luo, Di-Ran Zhao, Department of Ultrasound, People's Hospital of Deyang City, Deyang 618000, Sichuan Province, China
Bin Song, Department of Nephrology, People's Hospital of Deyang City, Deyang 618000, Sichuan Province, China
Author contributions: Zeng Y and Song B designed the study, drafted the initial manuscript, and reviewed and revised the manuscript; Luo P, Zhao DR and Wang FY collected data, carried out the initial analyses.
Supported bySichuan Provincial Science & Technology Program, No. 2022JDKP0040; Sichuan Provincial Health Commission Program, No. 21PJ168; Deyang Municipal Science & Technology Program, No. 2021SZZ068; and College-level Project of Chengdu University of Traditional Chinese Medicine, No. YYZX2021026 and No. YYZX2021020.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bin Song, Doctor, MD, Chief Physician, Department of Nephrology, People's Hospital of Deyang City, No. 173 Section 1, Taishan North Road, Deyang 618000, Sichuan Province, China. sb8052@126.com
Received: April 20, 2024 Revised: May 23, 2024 Accepted: June 4, 2024 Published online: August 6, 2024 Processing time: 72 Days and 21.4 Hours
Core Tip
Core Tip: Diaphragmatic paralysis is typically caused by phrenic nerve injury in the context of birth-related trauma or cardiothoracic surgery. Diagnosis of diaphragmatic paralysis is easily missed because its signs are usually nonspecific. The infant in this case had a lung infection but without showing other manifestations due to birth-related trauma. The infant exhibited tachypnea despite effective antibiotic treatment. Chest radiography revealed an elevated right hemidiaphragm. Diagnosis of diaphragmatic paralysis was confirmed by ultrasonography, which revealed decreased motion of the right diaphragm. Appropriate use of M-mode ultrasound to quantify diaphragmatic excursions could facilitate timely diagnosis and provide objective evaluation.
