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Published on: April 7, 2015
[Staphylococcus pneumonia--complications]
Amina Selimović1, Ermina Mujicić, Senka Mesihović-Dinarević
1Pedijatrijska klinika, Klinicki centar Univerziteta u Sarajevu.
Insights
This case study details a 4-year-old child
Area of Science:
- Pediatric Pulmonology
- Infectious Diseases
- Critical Care Medicine
Background:
- A 4-year-old child presented with symptoms suggestive of pleuropneumonia.
- Initial presentation included cough, vomiting, and fever, progressing to suspected staphylococcus pneumonia.
Observation:
- The patient developed a severe, progressive staphylococcus pneumonia with complications including cysts, rupture, and pneumothorax.
- Treatment involved broad-spectrum antibiotics, including anti-staphylococcal therapy, and thoracic drainage.
- Laboratory findings revealed elevated sedimentation rate and white blood cell count; sputum culture isolated Staphylococcus aureus.
Findings:
- The child required intensive treatment, including parenteral antibiotics and thoracic drainage for pneumothorax.
- A specific anti-staphylococcal therapy (stanicide) was administered, leading to positive clinical and radiological response.
- Follow-up imaging 6 months post-illness showed complete resolution of pulmonary changes.
Implications:
- This case highlights the complexity of managing severe staphylococcus pneumonia in children.
- Effective management requires a multi-faceted approach including appropriate antibiotic selection and supportive care.
- Prompt and targeted anti-staphylococcal treatment can lead to favorable outcomes even in complicated cases.
Abstract:
The paper presents the case of a 4-year-old child who was admitted with the diagnosis Dg: Pleuropneumonia lat. sin, while in the further course as a suspicion due to progressive flow as staphylococcus pneumonia. The illness is complex in terms of treatment. The diagnosis was set based on the history of illness, its clinical course, laboratory findings, radiology tests. The boy was hospitalized in January in current year with symptoms (coughing, vomiting and fever) that have been lingering for the past two days. The boy has been treated with a ternary antibiotic therapy (cephalosporin of third generation parenterally with aminoglycosides, plus anti-staphylococcus therapy). In laboratory findings Sedimentation rate increased 88/134 WBC 75 thousands. Radiologically extended pleuropneumonia on the left side. In sputum staphylococcus aureus was isolated. In the further course of hospitalization, due to the development of progressive form of staphylococcus pneumoniae with a fever of up to 39 degrees, pale aspect and dyspnoic patient with anemia and with complications in the form of cysts, ruptures and pneumothorax, with a thoracic drainage performed. In the further course, the cysts were gradually absorbed, while the thoracic drain was grafted. Clinically, the child was looking better. We continued the anti-staphylococcus therapy (stanicide), to which the child reacted well clinically and radiologically. Auscultatory breathing on the left side was audible. The last follow-up and the last rtg pulmo et cor 6 months after the outbreak of illness with a complete regression of the foregoing changes.
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