LAUSR

A chest drain was inserted, but as there was no clinical improvement, orotracheal intubation was required and she was transferred to a pediatric intensive care unit (PICU). At the fourth day of admission at the PICU, extracorporeal membrane oxygenation was required and maintained for 9 days. She was extubated after 19 days of hospitalization. At that time, a sensitive methicillin Staphylococcus aureus was isolated on respiratory secretions, and as laboratory evaluation revealed an increase in inflammatory parameters, intravenous flucloxaciline was started. Five days later, a urinary tract infection caused by an Enterobacter cloacae complex was diagnosed and treatment with piperacillin-tazobactam was initiated. A 14-day course of antibiotics was completed. She was discharged from the PICU after 29 days and stayed another 11 days at the pediatric ward. Despite the complicated course, she fully recovered. Figure 1C shows the chest XR performed 3 months after discharge. She is currently being followed by pediatric pulmonology and has no recurrent respiratory infections.