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Chapter 10 - Pneumonia and Empyema

Published online by Cambridge University Press:  17 December 2021

By
Elizabeth Daisy Dunn  and
Marilyn McDougall
Edited by
Shelley Riphagen  and
Sam Fosker
Shelley Riphagen
Affiliation:
Evelina Children’s Hospital, London and South Thames Retrieval Service
Sam Fosker
Affiliation:
Evelina Children’s Hospital, London
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Summary

A 3-year-old child attended the local hospital, with her parents, complaining of abdominal pain. This had been ongoing for 2.5 weeks. She had seen her general practitioner on more than one occasion, where the abdominal pain had been managed as constipation. Her parents reported no improvement. Parents had brought her into hospital on this occasion because she had become increasingly sleepy and lethargic. They had also noticed her breathing had changed. On arrival in A&E she was noticed to have severe respiratory distress with clinical observations recorded in Table 10.1.

Type
Chapter
Information
Cases in Paediatric Critical Care Transfer and Retrieval Medicine , pp. 53 - 58
Publisher: Cambridge University Press
Print publication year: 2022

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References

Further Reading

Advanced Paediatric Life Support – Chapter 6, The Child In Shock – ALSG.Google Scholar
British Thoracic Guidelines for Management of Community Pneumonia. www.brit-thoracic.org.uk/document-library/guidelines/pneumonia-in-children/bts-guideline-for-the-management-of-community-acquired-pneumonia-in-children-update/.Google Scholar
British Thoracic Guidelines for the Management of Pleural Infection in Children. thorax.bmj.com/content/60/suppl_1/i1.CrossRefGoogle Scholar
British Thoracic Guidelines for the Management of Community Acquired Pneumonia in Children: Update 2011. www.brit-thoracic.org.uk/document-library/guidelines/pneumonia-in-children/bts-guideline-for-the-management-of-community-acquired-pneumonia-in-children-update/.Google Scholar
Health Protection Report, Public Health England – Surveillance of Streptococcus pneumoniae: 2015. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/570792/hpr4016_strp-pnmnae.pdf.Google Scholar
Public Health England Report – Group A Streptococcal Infections: Third Report on Seasonal Activity 2018/19. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/800932/hpr1619_gas-sf3.pdf.Google Scholar
Surviving Sepsis Guidelines – 8th February 2020. https://journals.lww.com/pccmjournal/Fulltext/2020/02000/Surviving_Sepsis_Campaign_International_Guidelines.20.aspx.Google Scholar

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