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    Go to the top of the page   ID: 20031223165339 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Lobar pneumonia without proven pathogen
    M Paetzel. Lobar pneumonia without proven pathogen. PedRad [serial online] vol 3, no. 12.
    URL: www.PedRad.info/?search=20031223165339


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    M. Paetzel (Leipzig)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    11 Months  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Thorax-Lung  

     
     Pediatric Radiology CasesMost likely etiology:

    inflammatory or infectious  

     
     Pediatric Radiology CasesHistory:

    11 month-old boy with high fever, respiratory distress, no cough.

    1. X-ray on the day of admission.
    2. X-ray after 14 days. However, on the 8th day of treatment, worsening of fever and cough and a child in obvious distress.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    A pathogen could not be found in this case. Also no evidence of specific and pathologically increased IgM-antibodies.

    Based on imaging findings, this case demonstrates an alveolar infiltrate in the sense of a typical pneumonia (lobar pneumonia).

    Under intravenous Claforan therapy, initially significant improvement, however after 8 days fever rose and cough worsened. It is considered that a secondary infection occurred, because the x-ray showed signs of a partial bronchial affection/obstruction with atelectasis, but without signs of airspace infiltrate anymore.  

     
     Pediatric Radiology CasesRadiological findings:


    X-Ray 1 <- view X-Ray 1

    X-Ray 1: Frontal view: Homogeneous opacification of the left midle and lower lung zones. Slightly thickened pleura with a small left pleural effusion identified on the lateral view.




    X-Ray 2 <- view X-Ray 2

    X-Ray 2: Lateral view: Decreased transparency in the retrocardial space. Small left pleural effusion.






    X-Ray 3 <- view X-Ray 3

    X-Ray 3: Image performed after 14 days: no homogeneous opacification anymore, but clearly increased reticular densities in both upper lung zones. Small atelectasis on the right at the basal border of the upper lung zone.





    X-Ray 4 <- view X-Ray 4

    X-Ray 4: Image performed after 1.5 months: There is still mild bihilar prominence, most likely due to the persisting enlarged lymph nodes. Otherwise a normal chest radiograph for this age.


     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Expert's opinion  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Lobar pneumonia, atelectasis, foreign object aspiration  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    N/A  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Lichenstein R, Suggs AH, Campbell J.
    Pediatric pneumonia
    Emerg Med Clin North Am. 2003 May;21(2):437-51.  

     
     Pediatric Radiology CasesKeywords:

    Lobar pneumonia, atelectasis, foreign body aspiration, pneumonia, Lobular pneumonia, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    M Paetzel. Lobar pneumonia without proven pathogen. PedRad [serial online] vol 3, no. 12.
    URL: www.PedRad.info/?search=20031223165339  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Thorax-Lung
    or in the region: Thorax
    or in the tissue/organ: Lung
    or with the etiology: inflammatory or infectious
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
     
    Lobar pneumonia without proven pathogen
    M Paetzel. Lobar pneumonia without proven pathogen. PedRad [serial online] vol 3, no. 12.
    URL: www.PedRad.info/?search=20031223165339


     

    Search similar cases in:
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    Lobar pneumonia without proven pathogen
    Other cases by these authors:

    Search M. Paetzel in Medline M. Paetzel (10)   

    Lobar pneumonia without proven pathogen  
     
    Lobar pneumonia without proven pathogen
    M Paetzel. Lobar pneumonia without proven pathogen. PedRad [serial online] vol 3, no. 12.
    URL: www.PedRad.info/?search=20031223165339


     

    Which diagnosis have other collegues guessed?


    • Lobar pneumonia
      Votes: 7 (63 %)


    • Atelectasis
      Votes: 0 (0 %)


    • Foreign body aspiration
      Votes: 2 (18 %)


    • Infected pulmonary sequestration
      Votes: 2 (18 %)



        Total answers: 11

     
    Lobar pneumonia without proven pathogen
    M Paetzel. Lobar pneumonia without proven pathogen. PedRad [serial online] vol 3, no. 12.
    URL: www.PedRad.info/?search=20031223165339


     

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    Lobar pneumonia without proven pathogen
    M Paetzel. Lobar pneumonia without proven pathogen. PedRad [serial online] vol 3, no. 12.
    URL: www.PedRad.info/?search=20031223165339


     




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