Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Clinical History:
The patient was a 2 year old female with a necrotizing pneumonia.
Blood cultures grew out streptococcus. The patient subsequently
developed a right pneumothorax, felt to be caused by the necrotizing
pneumonia.
Clinical Physical Exam:
Respiratory distress.
Clinical Labs:
Blood cultures positive for streptococcus.
Clinical Differential Diagnosis:
Pneumonia
Imaging Findings:
PA chest film demonstrated bilateral airspace disease and a right
sided pneumothorax. A chest CT exam from the same day showed an
infected right pleural fluid collection, containing air, and a
fistula communicating between the lung and the pleural space.
Imaging Differential Diagnosis:
Empyema / Bronchopleural Fistula
Operative Findings:
None
Pathological Findings:
None
Final Diagnosis:
Empyema / Bronchopleural Fistula
Follow-up and Prognosis:
The empyema and bronchopleural fistula resolved.
Similar Cases:
Case 5,
Case 14
References:
Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
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