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Endobronchial fibrosarcoma presenting as recurrent left-sided pneumonia
Atul Gupta1, Rosemary Marsh, Simon Jordan
1Department of Paediatric Respiratory Medicine, Royal Brompton and Harefield NHS Foundation Trust, London, UK. atulgupta@doctors.org.uk
Insights
A child
Area of Science:
- Pediatric Pulmonology
- Pediatric Oncology
- Thoracic Surgery
Background:
- Recurrent pneumonia in children can be challenging to diagnose.
- Persistent lung infiltrates warrant thorough investigation beyond typical infectious causes.
Observation:
- A 6-year-old girl presented with a 3-year history of persistent left-sided pneumonia.
- Initial diagnoses and treatments for pneumonia were unsuccessful.
Findings:
- A rare endobronchial low-grade fibrosarcoma was identified as the cause of the persistent symptoms.
- The tumor caused localized airway obstruction, mimicking recurrent pneumonia.
Implications:
- Emphasizes the need to consider rare underlying causes for atypical pediatric pneumonia.
- Highlights the importance of investigating localized airway obstruction in non-resolving pediatric lung conditions.
- Underscores the necessity for vigilant follow-up in complex pediatric respiratory cases.
Abstract:
We report a 6-year old girl with recurrent and non-resolving left-sided "pneumonia" over a 3-year period who was diagnosed with an endobronchial low-grade fibrosarcoma. This highlights the importance of considering underlying localized airway obstruction in any case of clinically or radiologically atypical pneumonia in a child and therefore the need for careful follow-up of all but the most typical cases.
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