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Porcelain lung: calcification in severe Bordetella pertussis infection
  1. Anusha Ganeshalingham1,
  2. Brian J Anderson1,
  3. Jane Zuccollo2,
  4. David Davies-Payne3,
  5. John Beca1
  1. 1Paediatric Intensive Care Unit, Starship Children's Hospital, Auckland, New Zealand
  2. 2Department of Obstetrics and Gynaecology, Wellington Hospital, Wellington, New Zealand
  3. 3Department of Paediatric Radiology, Starship Children's Hospital, Auckland, New Zealand
  1. Correspondence to Dr Anusha Ganeshalingham, Paediatric Intensive Care Unit, Starship Children's Hospital, Park Road, Grafton, Auckland 1010, New Zealand; anushag{at}adhb.govt.nz

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An unimmunised 5-week-old, term male infant presented to the intensive care unit with cardiorespiratory failure and peripheral lymphocytosis. The infant deteriorated despite intubation, ventilation, vasoactive drug infusions and exchange transfusion. Venoarterial extracorporeal membrane oxygenation (ECMO) was started. Infection with Bordetella pertussis was subsequently confirmed. The lungs remained radiologically opacified and tidal volumes were poor despite lung recruitment manoeuvres, resulting in a prolonged …

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