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Unilateral double round pneumonia in a child: A case report and literature review

Hanan Ibrahim AlOmran1

  • 1College of Medicine, Prince Sattam Bin Abdulaziz University, AL Imam Malik Ibn Anass St, Ar Rayyan, Al-Kharj 11942, Saudi Arabia.

Radiology Case Reports
|September 6, 2021
PubMed

Insights

Round pneumonia, a lower respiratory infection with round opacity on chest X-ray, is typically seen in young children. This case highlights a rare presentation in a 10-year-old girl successfully treated with antibiotics.

Area of Science:

  • Pediatrics
  • Radiology
  • Infectious Diseases

Background:

  • Round pneumonia commonly affects children under 8 years old, characterized by lower respiratory tract infection and radiographic round opacities.
  • It is infrequently diagnosed in older children due to more developed collateral airways.

Observation:

  • A 10-year-old girl presented with symptoms of fever and cough.
  • Chest X-ray revealed rounded densities, indicative of pneumonia.
  • A rapid urinary antigen test for Streptococcus pneumoniae was positive.

Findings:

  • The patient was diagnosed with round pneumonia, a condition typically seen in younger children.
  • Treatment with penicillin and gentamicin led to complete clinical and radiographic recovery.
  • Mycoplasma pneumoniae infection was ruled out by negative antibody tests.

Implications:

  • This case expands the known age range for round pneumonia presentation.
  • It underscores the importance of considering bacterial pneumonia in older children with atypical radiographic findings.
  • Prompt diagnosis and appropriate antibiotic therapy are crucial for favorable outcomes in round pneumonia.

Keywords:
ChildrenInfectionOpacityPneumoniaRound

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