{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T11:14:35Z","timestamp":1773400475442,"version":"3.50.1"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,3,28]]},"abstract":"<jats:p>A preterm neonate born at 27 weeks, with a birth weight of 555 g, was on continuous positive airway pressure (CPAP) for apnoea of prematurity and initially received total parenteral nutrition (TPN) through the umbilical venous catheter. Peripherally inserted central catheter (PICC) was inserted in the left basilica vein on day 8 to continue TPN. The baby developed respiratory distress with persistent hypoxia after TPN was initiated through the PICC line. The baby required mechanical ventilation due to worsening of respiratory distress, and chest X-ray, as well as ultrasound conducted 12\u2009hours, postinfusion of TPN revealed right-sided pleural effusion. On careful observation, we could trace the PICC in the right lung area. The PICC line was removed immediately and the baby improved over the next 18\u2009hours and was extubated to CPAP within the next 48\u2009hours. We report this case of contralateral pleural effusion secondary to malposition of PICC line in an extremely preterm neonate.<\/jats:p>","DOI":"10.1136\/bcr-2018-224471","type":"journal-article","created":{"date-parts":[[2018,4,17]],"date-time":"2018-04-17T14:25:29Z","timestamp":1523975129000},"page":"bcr-2018-224471","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["A misplaced peripherally inserted central catheter presenting as contralateral pleural effusion"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0464-9689","authenticated-orcid":false,"given":"Jogender","family":"Kumar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sudeep","family":"K C","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanya","family":"Mukhopadhyay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Somosri","family":"Ray","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,4,17]]},"reference":[{"key":"2025042703242049000_2018.apr17_1.bcr-2018-224471.1","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1002\/jcu.22493","article-title":"Massive pleural effusion on the contralateral side of a venous peripherally inserted central catheter","volume":"46","author":"Sancak","year":"2018","journal-title":"J Clin Ultrasound"},{"key":"2025042703242049000_2018.apr17_1.bcr-2018-224471.2","doi-asserted-by":"crossref","first-page":"24","DOI":"10.21699\/jns.v6i1.406","article-title":"Malpositioned central line in a neonate presenting as superficial abdominal abscess","volume":"6","author":"Garg","year":"2017","journal-title":"J Neonatal Surg"},{"key":"2025042703242049000_2018.apr17_1.bcr-2018-224471.3","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2012.7"},{"key":"2025042703242049000_2018.apr17_1.bcr-2018-224471.4","doi-asserted-by":"crossref","first-page":"1234","DOI":"10.1177\/0148607116644714","article-title":"Percutaneously inserted central catheter-related pleural effusion in a level III neonatal intensive care unit: A 5-Year Review (2008-2012)","volume":"41","author":"Bashir","year":"2017","journal-title":"JPEN J Parenter Enteral Nutr"},{"key":"2025042703242049000_2018.apr17_1.bcr-2018-224471.5","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2013.58"},{"key":"2025042703242049000_2018.apr17_1.bcr-2018-224471.6","doi-asserted-by":"crossref","first-page":"F","DOI":"10.1136\/fn.89.1.F41","article-title":"Does radio-opaque contrast improve radiographic localisation of percutaneous central venous lines?","volume":"89","author":"Odd","year":"2004","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"key":"2025042703242049000_2018.apr17_1.bcr-2018-224471.7","doi-asserted-by":"publisher","DOI":"10.1542\/peds.110.1.131"},{"key":"2025042703242049000_2018.apr17_1.bcr-2018-224471.8","doi-asserted-by":"publisher","DOI":"10.1177\/0148607115574000"},{"key":"2025042703242049000_2018.apr17_1.bcr-2018-224471.9","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2014-205096"},{"key":"2025042703242049000_2018.apr17_1.bcr-2018-224471.10","first-page":"1","article-title":"Role of ultrasound for central catheter tip localization in neonates: a review of the current evidence","volume":"53","author":"Sharma","year":"2018","journal-title":"J Matern Fetal Neonatal Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-224471","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T10:24:31Z","timestamp":1745749471000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-224471"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,17]]},"references-count":10,"alternative-id":["10.1136\/bcr-2018-224471"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-224471","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,17]]}}}