Persistent Pneumonia in an Infant.

Abstract:

:A 4-month-old boy with past medical history of eczema presented with fever and cough; a chest radiograph showed lung consolidation, and he was initially treated with amoxicillin for presumed community-acquired pneumonia. After several days, his fever persisted. He was also profoundly anemic. Antibiotic coverage was broadened because of the concern for resistant organisms; he began to improve and was discharged from the hospital. However, at 5 months of age, his fever returned, and he continued to demonstrate lung consolidation on chest radiograph. Additionally, he had lost weight and continued to be anemic. Splenic cysts were noted on abdominal ultrasound. He was diagnosed with an unusual etiology for his pneumonia and improved with the appropriate therapy. An underlying immunodeficiency was suspected, but initial testing was nondiagnostic. At 12 months of age, he presented with another infection, and the final diagnosis was made.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Padilla K,Logan L,Codispoti C,Jones C,Van Opstal E

doi

10.1542/peds.2014-3856

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

154-60

issue

1

eissn

0031-4005

issn

1098-4275

pii

peds.2014-3856

journal_volume

136

pub_type

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