Book contents
- Frontmatter
- Contents
- List of contributors
- Preface
- Acknowledgment
- Section 1 Head and neck
- Section 2 Thoracic imaging
- Case 11 Lipoid pneumonia
- Case 12 Pleuropulmonary blastoma
- Case 13 Neuroendocrine cell hyperplasia of infancy (NEHI)
- Case 14 Endobronchial foreign body recognition
- Case 15 Chronic esophageal foreign body
- Case 16 Opsoclonus–myoclonus due to underlying ganglioneuroblastoma
- Case 17 Lymphoma: pulmonary manifestations
- Case 18 Acute and subacute pneumonia in childhood: tuberculosis
- Case 19 Thymus: normal variations
- Case 20 Airleak in the neonate
- Case 21 Bronchopulmonary malformation: hybrid lesions
- Case 22 Lymphatic abnormality in the pediatric chest
- Section 3 Cardiac imaging
- Section 4 Vascular and interventional
- Section 5 Gastrointestinal imaging
- Section 6 Urinary imaging
- Section 7 Endocrine - reproductive imaging
- Section 8 Fetal imaging
- Section 9 Musculoskeletal imaging
- Index
- References
Case 18 - Acute and subacute pneumonia in childhood: tuberculosis
from Section 2 - Thoracic imaging
Published online by Cambridge University Press: 05 June 2014
- Frontmatter
- Contents
- List of contributors
- Preface
- Acknowledgment
- Section 1 Head and neck
- Section 2 Thoracic imaging
- Case 11 Lipoid pneumonia
- Case 12 Pleuropulmonary blastoma
- Case 13 Neuroendocrine cell hyperplasia of infancy (NEHI)
- Case 14 Endobronchial foreign body recognition
- Case 15 Chronic esophageal foreign body
- Case 16 Opsoclonus–myoclonus due to underlying ganglioneuroblastoma
- Case 17 Lymphoma: pulmonary manifestations
- Case 18 Acute and subacute pneumonia in childhood: tuberculosis
- Case 19 Thymus: normal variations
- Case 20 Airleak in the neonate
- Case 21 Bronchopulmonary malformation: hybrid lesions
- Case 22 Lymphatic abnormality in the pediatric chest
- Section 3 Cardiac imaging
- Section 4 Vascular and interventional
- Section 5 Gastrointestinal imaging
- Section 6 Urinary imaging
- Section 7 Endocrine - reproductive imaging
- Section 8 Fetal imaging
- Section 9 Musculoskeletal imaging
- Index
- References
Summary
Imaging description
This previously healthy seven-month-old boy was brought to a local community hospital with acute fever and cough. A chest radiograph demonstrated extensive opacification of the right upper lung. Pneumonia was diagnosed and the child was admitted and given intravenous antibiotics for 24 hours. However, respiratory symptoms persisted and the child remained febrile with subsequent hypothermia and some lethargy. Because of concern for sepsis or meningitis, the child was transferred to an academic medical center children’s hospital. A chest radiograph on admission demonstrated dense bulging right upper lobe consolidation with a medial area of cavitation or pneumatocele formation as well as a diffuse macronodular and micronodular pattern elsewhere throughout both lungs (Fig. 18.1a). There also appeared to be prominent paratracheal as well as subcarinal adenopathy with mild mass effect on the airway (Fig. 18.1a). The radiographic appearance raised concern for an unusual infection including tuberculosis (TB) or fungal disease such as Cocidioidiomycosis or Cryptococcus, less likely an unusual viral or pyogenic bacterial infection. A lumbar puncture demonstrated findings of subacute meningitis (lymphocytic predominance of cells).
- Type
- Chapter
- Information
- Pearls and Pitfalls in Pediatric ImagingVariants and Other Difficult Diagnoses, pp. 62 - 65Publisher: Cambridge University PressPrint publication year: 2014