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Novel treatment (new drug/intervention; established drug/procedure in new situation)
CASE REPORT
Successful treatment of congenital chylothorax with skimmed milk and long course octreotide
  1. Tanushree Sahoo,
  2. Mukul Kumar Mangla,
  3. Amanpreet Sethi and
  4. Anu Thukral
  1. Department of Pediatrics, All India Institute of Medical Sciences,New Delhi, New Delhi, India
  1. Correspondence to Dr Anu Thukral, dranuthukral{at}gmail.com

Abstract

Congenital chylothorax (CC) is a rare entity in neonatal period requiring multimodal management strategies. Despite optimum treatment, some cases remain refractory posing significant challenge to the treating physician. We here describe a 33-week preterm neonate presenting with refractory congenital chylothorax who needed treatment with combination of skimmed milk, high dose and prolonged duration octreotide for resolution. This case highlighted that octreotide has a good safety profile in newborn infants with congenital chylothorax and locally available skimmed milk fortified with medium chain triglyceride (MCT) oil is a cheap and safe alternative.

  • Nutrition
  • Lipid Disorders
  • Drugs: Gastrointestinal System
  • Neonatal Intensive Care

http://dx.doi.org/10.1136/bcr-2018-226347

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    Footnotes

    • Contributors TS prepared manuscript and managed the case. MKM prepared manuscript and managed the case. AS reviewed the manuscript and helped in case management. AT reviewed the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Parental/guardian consent has been obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.