Evidence map›Paper›PMID 42137475›Full record

ArticleCase reports in pulmonology2026

Home-Based Management of a Child With Persistent Pulmonary Air Leak Complicated by Pneumonia.

Dhruba Shrestha, Sampurna Man Tuladhar, Manoj Krishna Shrestha

Abstract read
In one paragraph

Article in Case reports in pulmonology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Dhruba ShresthaDepartment of Pediatrics, Siddhi Memorial Hospital (for Women and Children), Bhaktapur, Nepal.ORCID https://orcid.org/0000-0003-0218-5152
Sampurna Man TuladharDepartment of CTVS, Civil Service Hospital, Kathmandu, Nepal, civilservicehospital.org.ORCID https://orcid.org/0009-0005-1062-1120
Manoj Krishna ShresthaDepartment of Pediatrics, Siddhi Memorial Hospital (for Women and Children), Bhaktapur, Nepal.ORCID https://orcid.org/0000-0003-1435-3766

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pneumothorax is a condition where air leaks into the space between the visceral and parietal pleura. Community acquired pneumonia is a rare cause of pneumothorax in children. Pneumothorax can sometimes develop as a complication of pneumonia when infection erodes the distal airway into the pleural cavity causing air leak. If the air leak persists for more than 7 days, then it is termed a persistent air leak. Case Summary: A 6-year-old South Asian girl presented with right upper and middle lobe pneumonia with empyema, for which a chest tube drain was inserted, which progressed to a persistent pulmonary air leak. Despite initial hospital management, the air leak persisted, necessitating home-based care with meticulous follow-up. Later on, after home-based care, the child improved and the chest tube could be removed without complications. The management of persistent air leak complicated by pneumonia necessitates a multidisciplinary approach. Conclusion: This case highlights an innovative approach to managing complex pediatric respiratory conditions outside the hospital setting. The incorporation of domiciliary care introduces a novel dimension. This requires meticulous training of the parents with no medical exposure before monitoring and guiding them via online video and ensuring they adhere to treatment protocols. This report highlights the possibility of conservative domiciliary management for persistent air leak before going into definitive surgery.

Indexed as

empyemahome-based carepediatricpneumoniapulmonary air leak

Identifiers

PMID42137475
PMCPMC13168864

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.