February 1994

Radiological Cases of the Month

Author Affiliations

From the Division of Pulmonary Medicine, Department of Pediatrics (Drs Amirav and Schramm), and the Department of Radiology (Dr Kramer), Children's Hospital of Philadelphia, Pa.

Arch Pediatr Adolesc Med. 1994;148(2):203-204. doi:10.1001/archpedi.1994.02170020089015

A 7-YEAR-OLD GIRL was referred with unresolved pneumonia. The patient was a mild asthmatic requiring no regular medication. Her infrequent asthmatic episodes began at 3 months of age and responded to inhalational bronchodilators.

Her present illness started 1 month before her referral. She presented with rhinorrhea, occasional cough and wheezing, and intermittent, low-grade fever. There was no history of trauma or aspiration. A chest roentgenogram was interpreted as demonstrating pneumonia at the right lung base, and she was treated with oral antibiotics. Her clinical status improved; however, because of increasing right lung opacification on a chest roentgenogram following 10 days of therapy, she was admitted for therapy with intravenous antibiotics and nebulized bronchodilators. She was transferred after 1 week because no roentgenographic improvement was observed.

Physical examination demonstrated a cooperative, afebrile child in no respiratory distress. Respirations were 20/min, and heart rate was regular at 90 beats per minute.

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