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Adult respiratory distress syndrome (ARDS) complicating meningococcaemia

Authors:	D. C. Wilson P. M. Crean J. G. Jenkins

Affiliation:	1. Intensive Care Unit, Royal Belfast Hospital for Sick Children, Belfast, Northern Ireland

Abstract:	We describe a one year old boy with meningococcaemia complicated by the adult respiratory distress syndrome. Maintenance of oxygenation required a positive end-expiratory pressure of 20 cm H₂O. Resultant barotrauma produced pneumothorax and pneumomediastinum. Prompt recognition and treatment of this complication can reduce its high mortality rate.

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