Fretzayas Andrew, Moustaki Maria, Alexopoulou Efthimia, Liapi Olga, Nicolaidou Polyxeni, Priftis Konstantinos N
Third Department of Pediatrics, Athens University Medical School, Attikon University Hospital, Athens, Greece.
Pediatr Int. 2010 Jun;52(3):444-6. doi: 10.1111/j.1442-200X.2009.03004.x. Epub 2009 Nov 13.
Community-acquired pneumonia in children is rarely depicted as round opacity. The aim of the present study was therefore to describe the clinical and laboratory characteristics of round pneumonia in children.
The clinical series consisted of 30 children aged 1-7 years (mean age, 3.4 +/- 1.8 years) who were compared to an equal number of children with segmental or lobar pneumonia aged 3-11 years (mean age, 5.5 +/- 2.7 years).
Round pneumonia was localized more often in the lower lobe (17/30), and the right side was more commonly affected (20/30). The same, however, was the case for the control group. The two groups were not different regarding the severity of the disease but cough was much more common in the control patients. The white blood cells were considerably higher in round pneumonia, whereas the other inflammatory indices were not significantly different. All round consolidations responded promptly to antibiotics and resolved radiographically in 8 weeks.
Round consolidations in febrile children associated with elevated inflammatory indices seem to be attributed to round pneumonia, which responds promptly to antibiotics without complications.
儿童社区获得性肺炎很少表现为圆形实变影。因此，本研究的目的是描述儿童圆形肺炎的临床和实验室特征。
该临床系列包括30名1至7岁的儿童（平均年龄3.4±1.8岁），并与同等数量的3至11岁节段性或大叶性肺炎儿童（平均年龄5.5±2.7岁）进行比较。
圆形肺炎更常位于下叶（17/30），右侧更易受累（20/30）。然而，对照组情况相同。两组在疾病严重程度方面无差异，但咳嗽在对照组患者中更为常见。圆形肺炎患者的白细胞明显更高，而其他炎症指标无显著差异。所有圆形实变影对抗生素反应迅速，8周内影像学表现消失。
发热儿童伴有炎症指标升高的圆形实变影似乎是由圆形肺炎引起的，其对抗生素反应迅速且无并发症。
