ABSTRACT
CASE PRESENTATION: A 15-year-old boy presented with three acute episodes of self-limited hemoptysis. He was being followed by the pediatric pulmonology department for necrotizing pneumonia and a right upper lobe lung abscess with residual pneumatocele 5 years earlier. He had also experienced recurrent perianal abscesses and more than 15 acute suppurative otitis media throughout his life, even after myringotomy and transtympanic drainage; methicillin-sensitive Staphyloccocus aureus was found in a culture of otic exudate. He had no known allergies and was not taking any drugs. The patient's father had presented with more than 20 skin abscesses and was carrier of methicillin-resistant S aureus. After necrotizing pneumonia and along with his family history, the patient had undergone a neutrophil oxidative burst test excluding chronic granulomatous disease; immunoglobulin levels and lymphocyte populations were within normal range.
Subject(s)
Methicillin-Resistant Staphylococcus aureus , Pneumonia, Necrotizing , Abscess , Adolescent , Child , Hemoptysis/diagnosis , Hemoptysis/etiology , Humans , Immunoglobulins , Male , MethicillinABSTRACT
No disponible
Subject(s)
Humans , Female , Aged , Chilaiditi Syndrome/complications , Intestinal Volvulus/etiology , Sigmoid Diseases/etiology , Risk Factors , Liver/injuriesABSTRACT
Chilaiditi's sign is an anatomical alteration consisting of the transposition of the small intestine or colon between the liver and diaphragm that is asymptomatic and is usually an accidental radiological finding. The onset of Chilaiditi syndrome is accompanied by clinical symptoms and is even rarer. Moreover, the combination of sigmoid volvulus and Chilaiditi syndrome is extremely rare, with only 17 previous published cases, one of which occurred in a female patient.
