Virtual Pediatric Hospital(tm) : A digital library of pediatric information

Home | Search | About Us | FAQ | Reviews | Contact Us
Additional pediatric resources: SearchingPediatrics.com | Pediatric Commons Facebook iconTwitter iconRSS icon | PediatricEducation.org | GeneralPediatrics.com

Virtual Pediatric Hospital: Paediapaedia: Pneumonia, Aspiration Paediapaedia: Neonatal Chest Diseases

Pneumonia, Aspiration

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Clinical Presentation:
Respiratory distress following feeding.

Etiology/Pathophysiology:
May result from aspiration of formula or gastric contents secondary to gastroesophageal reflux, tracheoesophageal malformations or pharyngoesophageal incoordination. The aspiration usually occurs when the patient is supine during or immediately after feeding. In the supine position the right upper lobe is the most dependent part of the lung and is most frequently affected, with the right middle and lower lobes being less frequently involved. Aspiration on the left side is uncommon. The alveoli and airways are flooded with aspirated material leading to airway obstruction with lobar or segmental atelectasis upon which chemical pneumonitis and superimposed infection may occur. If aspiration is persistent, fibrosis and bronchiectasis may result.

Pathology:
Alveoli and airways are filled with aspirated material.

Imaging Findings:
Infiltrates are seen usually in the right upper lobe, and less often in the right middle and lower lobes. icon gif In chronic aspiration, fibrosis and or bronchiectasis may be seen.

DDX:

References:
See References Chapter.

Section Top | Title Page


Additional pediatric resources: SearchingPediatrics.com | Pediatric Commons Facebook iconTwitter iconRSS icon | PediatricEducation.org | GeneralPediatrics.com
Home | Search | About Us | FAQ | Reviews | Contact Us

Virtual Pediatric Hospital is curated by Donna M. D'Alessandro, M.D. [Google+ Profile] and by Michael P. D'Alessandro, M.D.

Please send us comments by filling out our Comment Form.

All contents copyright 1992-2014 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.

"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.

Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.

Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.

The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.

URL: http://www.virtualpediatrichospital.org/

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.