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Acute Pulmonary Infiltrate in a 20-Month-Old Child—Quiz Case
Efraim Bilavsky, MD;
Jacob Amir, MD
Arch Pediatr Adolesc Med. 2007;161(1):97.
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A 20-month-old child had a 3-day history of grunting respirations, cough, and vomiting. He had been born at term by spontaneous vaginal delivery; the perinatal period was uneventful. He had been diagnosed with asthma at 6 months of age and had 4 recurrences of pneumonia, none of which required hospitalization. Chest radiography performed after the last episode of pneumonia revealed no abnormalities (Figure 1).
Figure appears in full text version.
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Figure 1. A chest radiograph taken 20 months prior to the current admission.
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On admission, the child was alert, smiling, and experiencing no toxic effects. Percutaneous oxygen saturation was 94% in room air, the rectal temperature was 37.4°C, and other vital signs were normal. Physical examination revealed mild dyspnea and tachypnea with grunting. There were diminished breath sounds in the left lower chest. The complete blood cell count was in the reference range. No leukocytosis or left shift . . . [Full Text of this Article]
Author Affiliations: Department of Pediatrics C, Schneider Children's Medical Center of Israel, Petach Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
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Acute Pulmonary Infiltrate in a 20-Month-Old Child—Diagnosis
Arch Pediatr Adolesc Med. 2007;161(1):98.
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