Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
The patient was a 2 year old female who presented to an outside hospital with respiratory distress. She was diagnosed with pneumococcal pneumonia. She worsened and was admitted to the outside intensive care unit on the 11th hospital day. Her clinical course was complicated by bilateral airleak and a cavitary lung lesion. She was transferred to our institution on the 21st hospital day, on mechanical ventilation. The patient was tried on high frequency ventilation for 1 day, and then placed on ECMO the next day.
Clinical Physical Exam:
Severe respiratory distress.
Clinical Differential Diagnosis:
AP chest film from the 32nd hospital day demonstrated diffuse airspace disease and the cavity in the right lower lobe. A chest CT exam obtained the next day defined the nature of this right lower lobe lesion further.
Images 2 and 3
Imaging Differential Diagnosis:
Pneumatocele, Post Bacterial Infection
Follow-up and Prognosis:
Please send us comments by filling out our Comment Form.
All contents copyright © 1992-2017 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.
"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.
Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.