Systemic Steroid Treatment for Severe Expanding Pneumococcal Pneumonia
The treatment of bacterial community-acquired pneumonia (CAP) is based on appropriate antibiotic therapy and supportive care such as intravenous fluids and supplemental oxygen. There is no available data regarding the use of steroids in CAP in children. We present an unusual case of a child with sev...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2015/186302 |
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| _version_ | 1832550165243756544 |
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| author | Eran Lavi David Shoseyov Natalia Simanovsky Rebecca Brooks |
| author_facet | Eran Lavi David Shoseyov Natalia Simanovsky Rebecca Brooks |
| author_sort | Eran Lavi |
| collection | DOAJ |
| description | The treatment of bacterial community-acquired pneumonia (CAP) is based on appropriate antibiotic therapy and supportive care such as intravenous fluids and supplemental oxygen. There is no available data regarding the use of steroids in CAP in children. We present an unusual case of a child with severe respiratory distress, on the brink of mechanical ventilation, due to a rapidly expanding pneumococcal pneumonia. The administration of systemic steroids resulted in a dramatic response with rapid improvement of clinical and radiological abnormalities followed by improvement of laboratory abnormalities. This case report should raise the awareness of the potential benefits of steroids in the treatment of severe pneumonia in children. Prospective randomized trials are needed to confirm the efficacy of steroids in this setting and to determine which patients would benefit most from this. |
| format | Article |
| id | doaj-art-c4bb0b87856e4360bd0eaf795d91c04a |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-c4bb0b87856e4360bd0eaf795d91c04a2025-02-03T06:07:31ZengWileyCase Reports in Pediatrics2090-68032090-68112015-01-01201510.1155/2015/186302186302Systemic Steroid Treatment for Severe Expanding Pneumococcal PneumoniaEran Lavi0David Shoseyov1Natalia Simanovsky2Rebecca Brooks3Department of Pediatrics Mount Scopus, Hadassah-Hebrew University Medical Center, P.O. Box 24035, 91240 Jerusalem, IsraelDepartment of Pediatrics Mount Scopus, Hadassah-Hebrew University Medical Center, P.O. Box 24035, 91240 Jerusalem, IsraelDepartment of Medical Imaging, Hadassah-Hebrew University Medical Center, Mount Scopus, P.O. Box 24035, 91240 Jerusalem, IsraelDepartment of Pediatrics Mount Scopus, Hadassah-Hebrew University Medical Center, P.O. Box 24035, 91240 Jerusalem, IsraelThe treatment of bacterial community-acquired pneumonia (CAP) is based on appropriate antibiotic therapy and supportive care such as intravenous fluids and supplemental oxygen. There is no available data regarding the use of steroids in CAP in children. We present an unusual case of a child with severe respiratory distress, on the brink of mechanical ventilation, due to a rapidly expanding pneumococcal pneumonia. The administration of systemic steroids resulted in a dramatic response with rapid improvement of clinical and radiological abnormalities followed by improvement of laboratory abnormalities. This case report should raise the awareness of the potential benefits of steroids in the treatment of severe pneumonia in children. Prospective randomized trials are needed to confirm the efficacy of steroids in this setting and to determine which patients would benefit most from this.http://dx.doi.org/10.1155/2015/186302 |
| spellingShingle | Eran Lavi David Shoseyov Natalia Simanovsky Rebecca Brooks Systemic Steroid Treatment for Severe Expanding Pneumococcal Pneumonia Case Reports in Pediatrics |
| title | Systemic Steroid Treatment for Severe Expanding Pneumococcal Pneumonia |
| title_full | Systemic Steroid Treatment for Severe Expanding Pneumococcal Pneumonia |
| title_fullStr | Systemic Steroid Treatment for Severe Expanding Pneumococcal Pneumonia |
| title_full_unstemmed | Systemic Steroid Treatment for Severe Expanding Pneumococcal Pneumonia |
| title_short | Systemic Steroid Treatment for Severe Expanding Pneumococcal Pneumonia |
| title_sort | systemic steroid treatment for severe expanding pneumococcal pneumonia |
| url | http://dx.doi.org/10.1155/2015/186302 |
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