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Recurrence of right lower lobe pneumonia 3 years after the first episode in an otherwise healthy 13-year-old girl

Antonino Capizzi, Oliviero Sacco, Giovanni A. Rossi, Michela Silvestri
  • Antonino Capizzi
    G. Gaslini Hospital, Department of Pediatrics, Italy
  • Oliviero Sacco
    G. Gaslini Hospital, Department of Pediatrics, Italy
  • Michela Silvestri
    G. Gaslini Hospital, Department of Pediatrics, Italy


Recurrent pneumonia is one of the most frequent reasons for referral to paediatric chest physicians. The diagnostic work-up is dependent on whether infection repeatedly occurs in the same lung lobe, or affects multiple lobes and/or different areas in different episodes. A 13-year-old girl was admitted with a second episode of right lower lobe pneumonia. The chest x-ray demonstrated an inhomogeneous opacity, without a clearly recognizable segmental distribution. A contrast-enhanced CT scan, was therefore performed that showed a polycyclic consolidation with blood supply from a systemic artery, originated from the thoracic aorta. A diagnosis of superinfection of an intralobar sequestration was made. The patient was treated with systemic antibiotics and, four weeks later, a segmental resection of the lesion was performed. The histological evaluation of the surgical specimen confirmed the diagnosis. 


Congenital malformation; pulmonary sequestration.

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Submitted: 2016-12-07 11:55:56
Published: 2017-05-25 16:10:05
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Copyright (c) 2017 Antonino Capizzi, Oliviero Sacco, Michela Silvestri, Giovanni A. Rossi

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