Round pneumonia due to Chlamydia pneumoniae in a child
Goro Koinuma1, Masayoshi Shinjoh1, Tomoka Kageyama1,2
1Department of Pediatrics, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
Insights
Round pneumonia, often seen in children under 8, is typically caused by Streptococcus pneumoniae. This case highlights Chlamydia pneumoniae as a cause in a 6-year-old boy with mild symptoms.
Area of Science:
- Pediatrics
- Infectious Diseases
- Radiology
Background:
- Round pneumonia is a distinct radiographic presentation of pneumonia, primarily affecting children.
- Streptococcus pneumoniae is the most frequently identified pathogen in pediatric round pneumonia.
- This condition typically manifests with lobar consolidation appearing as round opacities on chest imaging.
Observation:
- A 6-year-old boy presented with mild cough and low-grade fever.
- Radiographic examination revealed multiple round opacities in the right lower lung field.
- The patient was diagnosed with round pneumonia.
Findings:
- In this case, Chlamydia pneumoniae was identified as the causative agent of round pneumonia.
- The child's symptoms resolved following oral antibiotic treatment.
- This finding expands the spectrum of pathogens associated with pediatric round pneumonia.
Implications:
- Chlamydia pneumoniae should be considered in the differential diagnosis of pediatric round pneumonia, even with atypical presentations.
- Early diagnosis and appropriate antibiotic therapy are crucial for managing round pneumonia.
- Further research is warranted to understand the prevalence and clinical significance of Chlamydia pneumoniae in pediatric respiratory infections.
Abstract:
Round pneumonia is a disease commonly recognized in the pediatric age group, especially under the age of 8 years. Streptococcus pneumoniae is the most common agent causing this characteristic type of pneumonia. We herein report a case of a 6-year-old boy with only mild cough and low-grade fever who was then diagnosed with round pneumonia due to Chlamydia pneumoniae. He had multiple round opacities in the right lower lung field, and the symptoms subsided soon after oral administration of antibiotics.
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