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

Submitted: December 7, 2016
Accepted: March 10, 2017
Published: May 25, 2017
Abstract Views: 799
PDF: 504
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Authors

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. 

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Supporting Agencies

Ministero della Salute (Grant 5 x 1, 000 2006 to Oliviero Sacco)
Giovanni A. Rossi, G. Gaslini Hospital, Department of Pediatrics
Department of Pediatrics, Pulmonary and Allergy Disease Unit and Cystic Fibrosis Center

How to Cite

Capizzi, Antonino, Oliviero Sacco, Giovanni A. Rossi, and Michela Silvestri. 2017. “Recurrence of Right Lower Lobe Pneumonia 3 Years After the First Episode in an Otherwise Healthy 13-Year-Old Girl”. Monaldi Archives for Chest Disease 87 (1). https://doi.org/10.4081/monaldi.2017.802.

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