Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

video

Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

sound

Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Persian Version

Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

View:

237
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Download:

72
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Cites:

Information Journal Paper

Title

Pneumatocele in Postpneumonic Empyema in Children: A Case Report (Letter to Editor)

Pages

  6539-6540

Abstract

 Dear Editor-in-Chief Pneumatocele is most often seen in Children with bacterial pneumonia but also develops after blunt thoracic trauma, positive pressure ventilation, and caustic aspiration (1). These lesions frequently resolve spontaneously; and this is usually slow and not uncommonly may take months or longer after disappearance of the underlying pathology (2). We here describe a case of pulmonary pneumatocele in postpneumonic empyema in a child. A 4-year-old female was admitted with a 2-week history of cough and sputum production with fever. The chest X-ray objective pneumonia, so she was initially put under antibiotic as an outpatient. However, after 6 days we note the persistence of the fever a chest X-ray was made showing a left pulmonary empyema confirmed by a CT scan. So we decide a hospitalization with intravenous antibiotic treatment. After a favorable evolution in the one month control chest X-ray and CT scan objective a left basal pneumatocele (Figure. 1), and biology showed leukocyte count at 10, 740/mm3 and C-reactive protein at 28 mg/dL. So antibiotherapy has been started. After 4 weeks of antibiotic administration, improvement was detected on clinical finding, laboratory test, and radiologic image. At the 2-month follow-up, chest radiography and chest CT indicated regression of the pneumatocele (Figure. 2). Clinical and radiological progress was good. During follow-up, resolution of the pneumatocele lesion was observed after more than 5 months. Pulmonary pneumatoceles occur as a complication of acute pneumonia, but are almost always transient and generally resolve spontaneously and completely, without sequelae (3). The diagnosis was usually made with a simple chest x-ray, however, CT establishes a definitive diagnosis of pneumatocele and it is necessary for a good surveillance (4). As in our case it was the CT which confirmed the diagnosis of pneumatocele and it was used in surveillance during the first three months. In the treatment, there are some reports regarding image-guided catheter drainage or surgical excision besides cases with spontaneous resolution (4). But in the literature it has not been clearly indicated which clinical or radiological signs are indication for treatment choice; and some authors reported a series of spontaneous resolution without sequelae (2, 4). In our patient antibiotic was used because of biology result and spontaneous evolution was noted after 5 months of follow-up. Generally pneumatocele need not an interventional treatment and an excellent prognosis can be given with only surveillance and antibiotic if it has indication.

Cites

  • No record.

    • References

  • No record.

    • Cite

    APA: Copy

    HSAIRI, MANEL, LOUATI, HAMDI, ABID, HAMDI, SAFI, FAIZA, ZGHAL, MOHAMED ALI, GARGOURI, LAMIA, & MAHFOUDH, ABDELMAJID. (2017). Pneumatocele in Postpneumonic Empyema in Children: A Case Report (Letter to Editor). INTERNATIONAL JOURNAL OF PEDIATRICS, 5(12 (48)), 6539-6540. SID. https://sid.ir/paper/337489/en

    Vancouver: Copy

    HSAIRI MANEL, LOUATI HAMDI, ABID HAMDI, SAFI FAIZA, ZGHAL MOHAMED ALI, GARGOURI LAMIA, MAHFOUDH ABDELMAJID. Pneumatocele in Postpneumonic Empyema in Children: A Case Report (Letter to Editor). INTERNATIONAL JOURNAL OF PEDIATRICS[Internet]. 2017;5(12 (48)):6539-6540. Available from: https://sid.ir/paper/337489/en

    IEEE: Copy

    MANEL HSAIRI, HAMDI LOUATI, HAMDI ABID, FAIZA SAFI, MOHAMED ALI ZGHAL, LAMIA GARGOURI, and ABDELMAJID MAHFOUDH, “Pneumatocele in Postpneumonic Empyema in Children: A Case Report (Letter to Editor),” INTERNATIONAL JOURNAL OF PEDIATRICS, vol. 5, no. 12 (48), pp. 6539–6540, 2017, [Online]. Available: https://sid.ir/paper/337489/en

    Related Journal Papers

  • No record.

    • Related Seminar Papers

  • No record.

    • Related Plans

  • No record.

    • Recommended Workshops






    Move to top