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
Pediatricsjournal_title
Pediatricsauthors
Padilla K,Logan L,Codispoti C,Jones C,Van Opstal Edoi
10.1542/peds.2014-3856subject
Has Abstractpub_date
2015-07-01 00:00:00pages
154-60issue
1eissn
0031-4005issn
1098-4275pii
peds.2014-3856journal_volume
136pub_type
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