RESUMEN
Pulmonary actinomycosis is rarely reported in pediatric age. An 11-year-old girl with history of two-month back pain was admitted to our hospital. On physical examination respiratory sounds were diminished on the left upper lung. Chest radiograph revealed a mass in the left upper lobe. Computed tomography showed solitary lesion (5.6 x 4.5 cm in size) in the left upper lobe. We could not rule out the possibility of malignant thoracic tumor. The patient underwent surgery. Histological examination of the resected tissue revealed, numerous sulfur granules, characteristic of Actinomyces, surrounded by purulent exudates, which are consistent with actinomycosis. She was treated with penicillin G. The patient responded well to penicillin therapy and the lesions regressed completely. She remained well throughout the three-year follow-up.
Asunto(s)
Actinomicosis/complicaciones , Actinomicosis/tratamiento farmacológico , Niño , Femenino , Humanos , Enfermedades Pulmonares/tratamiento farmacológico , Enfermedades Pulmonares/microbiología , Penicilinas/uso terapéuticoRESUMEN
OBJECTIVE: Tularemia, an infection caused by the coccobacilus Francisella tularensis, can be a difficult disease process to diagnose and treat. The aim of this study was to evaluate an epidemic of tularemia in Bursa. METHODS: In this study, we included only pediatric cases. All the cases were diagnosed on clinical and serological grounds. RESULTS: During an epidemic of tularemia in a village of Bursa on December 2004, 70 people (60 adults, 10 children) fell ill. In children with tularemia, the oropharyngeal form predominated which was diagnosed 70% of cases. Most of the patients (80%) who had older than 10 years old, were treated with doxycycline. All patients recovered without complications. CONCLUSION: The epidemic was thought to be waterborne. The vehicle of the infections was inadequately treated water which was used by the patient in the village.
Asunto(s)
Adolescente , Adulto , Animales , Antibacterianos/administración & dosificación , Niño , Preescolar , Brotes de Enfermedades , Doxiciclina/administración & dosificación , Femenino , Francisella tularensis/aislamiento & purificación , Humanos , Masculino , Vigilancia de la Población , Tularemia/diagnóstico , Turquía/epidemiología , Microbiología del Agua , Abastecimiento de AguaRESUMEN
Septic pulmonary embolism (PE) is a diagnosis seldom considered in children. A 15 year old girl presented with fever, extremity swelling and pain for 5 days. Chest radiograph revealed a large, round density in the right lung and consolidation areas in peripheral portions of both lungs. Computed tomography showed bilateral multiple round and cavitary nodules in peripheral portions of both lungs, pleural effusion in the right lung and hypodense round lesion (8 cm by 4 cm) in the superior segment of right lower lobe, characteristic of PE. Cefotaxime and clindamycin were administered. By the 5th hour, the patient passed away. Staphylococcus aureus was isolated from blood, pleural fluid and tracheal aspirate cultures.
Asunto(s)
Adolescente , Bacteriemia/complicaciones , Resultado Fatal , Femenino , Humanos , Resistencia a la Meticilina , Embolia Pulmonar/tratamiento farmacológico , Infecciones Estafilocócicas/complicaciones , Tomografía Computarizada por Rayos XRESUMEN
We evaluated four children with rounded densities on their chest radiographs in whom the final diagnosis was presumed to be lower respiratory tract infection. The differential diagnose between round pneumonia and a neoplastic process is difficult to make. In this report, all of cases of round pneumonia have resolved clinically and radiographically with antibiotic therapy.