Pediatric Round Pneumonia
“Round pneumonia” or “spherical pneumonia” is a well-characterized clinical entity that seems to be less addressed by pediatricians in Taiwan. We herein report the case of a 7-year-old boy who presented with prolonged fever, cough, and chest X-rays showing a well-demarcated round mass measuring 5.9 ...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2014-12-01
|
| Series: | Pediatrics and Neonatology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957213000156 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850251906304180224 |
|---|---|
| author | Yen-Lin Liu Ping-Sheng Wu Li-Ping Tsai Wen-Hsin Tsai |
| author_facet | Yen-Lin Liu Ping-Sheng Wu Li-Ping Tsai Wen-Hsin Tsai |
| author_sort | Yen-Lin Liu |
| collection | DOAJ |
| description | “Round pneumonia” or “spherical pneumonia” is a well-characterized clinical entity that seems to be less addressed by pediatricians in Taiwan. We herein report the case of a 7-year-old boy who presented with prolonged fever, cough, and chest X-rays showing a well-demarcated round mass measuring 5.9 × 5.6 × 4.3 cm in the left lower lung field, findings which were typical for round pneumonia. The urinary pneumococcal antigen test was positive, and serum anti-Mycoplasma pneumoniae antibody titer measurement using a microparticle agglutination method was 1:160 (+). After oral administration of antibiotics including azithromycin and amoxicillin/clavulanate, which was subsequently replaced by ceftibuten due to moderate diarrhea, the fever subsided 2 days later and the round patch had completely resolved on the 18th day after the diagnosis. Recent evidence suggests treating classical round pneumonia with antibiotics first and waiving unwarranted advanced imaging studies, while alternative etiologies such as abscesses, tuberculosis, nonbacterial infections, congenital malformations, or neoplasms should still be considered in patients with atypical features or poor treatment response. |
| format | Article |
| id | doaj-art-784b43418b424bfba0a1eec2e951f2aa |
| institution | OA Journals |
| issn | 1875-9572 |
| language | English |
| publishDate | 2014-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj-art-784b43418b424bfba0a1eec2e951f2aa2025-08-20T01:57:48ZengElsevierPediatrics and Neonatology1875-95722014-12-0155649149410.1016/j.pedneo.2013.01.014Pediatric Round PneumoniaYen-Lin Liu0Ping-Sheng Wu1Li-Ping Tsai2Wen-Hsin Tsai3Department of Pediatrics, Buddhist Tzu Chi General Hospital, Taipei Branch, Xindian, New Taipei, TaiwanDepartment of Pediatrics, Buddhist Tzu Chi General Hospital, Taipei Branch, Xindian, New Taipei, TaiwanDepartment of Pediatrics, Buddhist Tzu Chi General Hospital, Taipei Branch, Xindian, New Taipei, TaiwanDepartment of Pediatrics, Buddhist Tzu Chi General Hospital, Taipei Branch, Xindian, New Taipei, Taiwan“Round pneumonia” or “spherical pneumonia” is a well-characterized clinical entity that seems to be less addressed by pediatricians in Taiwan. We herein report the case of a 7-year-old boy who presented with prolonged fever, cough, and chest X-rays showing a well-demarcated round mass measuring 5.9 × 5.6 × 4.3 cm in the left lower lung field, findings which were typical for round pneumonia. The urinary pneumococcal antigen test was positive, and serum anti-Mycoplasma pneumoniae antibody titer measurement using a microparticle agglutination method was 1:160 (+). After oral administration of antibiotics including azithromycin and amoxicillin/clavulanate, which was subsequently replaced by ceftibuten due to moderate diarrhea, the fever subsided 2 days later and the round patch had completely resolved on the 18th day after the diagnosis. Recent evidence suggests treating classical round pneumonia with antibiotics first and waiving unwarranted advanced imaging studies, while alternative etiologies such as abscesses, tuberculosis, nonbacterial infections, congenital malformations, or neoplasms should still be considered in patients with atypical features or poor treatment response.http://www.sciencedirect.com/science/article/pii/S1875957213000156childrenlobar pneumoniapneumoniaradiologyround pneumoniaspherical pneumonia |
| spellingShingle | Yen-Lin Liu Ping-Sheng Wu Li-Ping Tsai Wen-Hsin Tsai Pediatric Round Pneumonia Pediatrics and Neonatology children lobar pneumonia pneumonia radiology round pneumonia spherical pneumonia |
| title | Pediatric Round Pneumonia |
| title_full | Pediatric Round Pneumonia |
| title_fullStr | Pediatric Round Pneumonia |
| title_full_unstemmed | Pediatric Round Pneumonia |
| title_short | Pediatric Round Pneumonia |
| title_sort | pediatric round pneumonia |
| topic | children lobar pneumonia pneumonia radiology round pneumonia spherical pneumonia |
| url | http://www.sciencedirect.com/science/article/pii/S1875957213000156 |
| work_keys_str_mv | AT yenlinliu pediatricroundpneumonia AT pingshengwu pediatricroundpneumonia AT lipingtsai pediatricroundpneumonia AT wenhsintsai pediatricroundpneumonia |