Complicated Pneumonia in a Child: Hydropneumothorax Associated with MIS-C and GAS Superinfection

Snezhina Lazova1,2,3, Nadzhie Gorelyova-Stefanova1, Yoanna Slabakova4

  • 1Pediatric Clinic, University Hospital "N. I. Pirogov", 21 "General Eduard I. Totleben" Blvd., 1606 Sofia, Bulgaria.

Pediatric Reports
|October 25, 2024
PubMed

Insights

This case report details a rare hydropneumothorax complication in a child with Multisystem Inflammatory Syndrome (MIS-C) and Group A Streptococcus (GAS) pneumonia. It highlights a severe outcome in a previously healthy pediatric patient.

Area of Science:

  • Pediatric Pulmonology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Hydropneumothorax is a rare pneumonia complication, especially in children.
  • Pneumothorax is uncommon in COVID-19 and Multisystem Inflammatory Syndrome in Children (MIS-C).
  • Increased Group A Streptococcus (GAS) infections reported in Europe.

Related Concept Videos

Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
174
Pneumonia II: Pathophysiology01:29

Pneumonia II: Pathophysiology

The pathophysiology of pneumonia involves the following steps:
225
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
211
Pneumothorax-I01:26

Pneumothorax-I

A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
173
Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
1.5K
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
121