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儿童单侧双圆形肺炎:一例报告及文献综述

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

作者信息

AlOmran Hanan Ibrahim

机构信息

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

出版信息

Radiol Case Rep. 2021 Aug 26;16(11):3266-3269. doi: 10.1016/j.radcr.2021.07.066. eCollection 2021 Nov.

DOI:10.1016/j.radcr.2021.07.066
PMID:34484528
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8403706/
Abstract

Round pneumonia is a disease that occurs mainly in young children who have a clinical presentation of lower respiratory tract infection together with a chest radiograph showing round opacity. The mean age of patients with round pneumonia is five 5 years; it is uncommonly seen after the age of 8, as the collateral airways tend to be well developed by this age. In our case, we evaluated a 10-year-old girl who presented with fever, cough, and rounded densities on her chest x-ray. The rapid urinary antigen test for Streptococcus pneumoniae was positive, and serum anti-Mycoplasma pneumoniae antibodies were non-reactive. The diagnosis of round pneumonia was confirmed when the patient showed a complete recovery both clinically and radiographically after a course of penicillin and gentamicin.

摘要

圆形肺炎是一种主要发生于幼儿的疾病,临床表现为下呼吸道感染,胸部X线片显示圆形致密影。圆形肺炎患者的平均年龄为5岁;8岁以后少见,因为到这个年龄侧支气道往往已发育良好。在我们的病例中,我们评估了一名10岁女孩,她有发热、咳嗽症状,胸部X线显示圆形致密影。肺炎链球菌快速尿抗原检测呈阳性,血清抗肺炎支原体抗体无反应。当患者在接受一个疗程的青霉素和庆大霉素治疗后临床和影像学均完全恢复时,圆形肺炎的诊断得以证实。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2648/8403706/509676098bf0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2648/8403706/6d8c43038175/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2648/8403706/e90f43d22b8c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2648/8403706/509676098bf0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2648/8403706/6d8c43038175/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2648/8403706/e90f43d22b8c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2648/8403706/509676098bf0/gr3.jpg

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本文引用的文献

1
Pediatric round pneumonia.小儿圆形肺炎
Pediatr Neonatol. 2014 Dec;55(6):491-4. doi: 10.1016/j.pedneo.2013.01.014. Epub 2013 Mar 13.
2
Imaging of round pneumonia and mimics in children.儿童圆形肺炎及类似病变的影像学表现。
Pediatr Radiol. 2010 Dec;40(12):1931-40. doi: 10.1007/s00247-010-1767-7. Epub 2010 Aug 5.
3
Round pneumonia in children.
Indian J Pediatr. 2008 May;75(5):523-5. doi: 10.1007/s12098-008-0085-7. Epub 2008 Jun 8.
4
Round pneumonia: imaging findings in a large series of children.圆形肺炎:大量儿童的影像学表现
Pediatr Radiol. 2007 Dec;37(12):1235-40. doi: 10.1007/s00247-007-0654-3. Epub 2007 Oct 19.
5
Radiologic manifestations of round pneumonia in adults.成人圆形肺炎的放射学表现。
AJR Am J Roentgenol. 1998 Mar;170(3):723-6. doi: 10.2214/ajr.170.3.9490962.