A 7-Year-Old Girl with Dyspnea and Rash

Mackowiak, Philip A.
July 2003
Clinical Infectious Diseases;7/1/2003, Vol. 37 Issue 1, p73
Academic Journal
A seven-year-old Macedonian girl with severe dyspnea and a three-day history of fever, cough and malaise presented to a regional hospital. She had no history of lung disease or allergy. Chest radiographs showed a cavitary lesion within a consolidated right lower lobe as well as a small pleural effusion. After receiving amoxicillin-clavulanate for ten minutes, the patient developed an urticarial rash on her trunk and buttocks. On admission to the intensive care unit, the girl showed severe dyspnea, tachypnea and retractions. Provision of nasal oxygen was necessary. The physical examination revealed a ventilated left lung but no auscultatory sound over the right lung.


Related Articles

  • A Rare Cause Underlying Dyspnea: Spontaneous Pneumomediastinum. Turtay, Muhammet Gokhan; Karaman, Esra; Oguzturk, Hakan; Bayhan, Irfan // Journal of Medical Cases;2014, Vol. 5 Issue 4, p202 

    In this case report, by drawing attention to the diagnosis of spontaneous pneumomediastinum (SPM), a review of literature was aimed. A 25-year-old male patient was admitted to the emergency service with the complaint of shortness of breath which continued for 20 days. Vital signs were normal in...

  • Evaluation of the Significance of Incidental Breast Lesions Detected by Chest CT. Jae Hyun Kim; Yun-Woo Chang; Jung Hwa Hwang; Hyung Hwan Kim; Eun Hye Lee; Seung Boo Yang // Journal of the Korean Society of Radiology;Mar2013, Vol. 68 Issue 3, p229 

    Purpose: To evaluate the significance of incidentally detected breast lesions on a chest CT scan. Materials and Methods: Thirty-six incidental breast lesions in 26 patients were detected on a chest CT scan and were correlated with breast sonography, retrospectively. Among them, twenty-four...

  • A 7-Year-Old Girl with Dyspnea and Rash. Zingg, Walter; Kellenberger, Christian; Frey, Bernhard; Grimm, Felix; Berger, Christoph; Mackowiak, Philip A. // Clinical Infectious Diseases;7/1/2003, Vol. 37 Issue 1, p129 

    While diagnosing Cystic echinococcosis in a seven-year-old girl through supine chest radiography, a curvilinear opacity was noted within the cavitary lesion, this opacity appeared to be floating on the upright view. These findings of a CT scan confirmed the presence of characteristic detached...

  • Pictorial essay: Allergic bronchopulmonary aspergillosis. Agarwal, Ritesh; Khan, Ajmal; Garg, Mandeep; Aggarwal, Ashutosh N.; Gupta, Dheeraj // Indian Journal of Radiology & Imaging;Nov2011, Vol. 21 Issue 4, p242 

    Allergic bronchopulmonary aspergillosis (ABPA) is the best-known allergic manifestation of Aspergillus-related hypersensitivity pulmonary disorders. Most patients present with poorly controlled asthma, and the diagnosis can be made on the basis of a combination of clinical, immunological, and...

  • Esophageal misplacement of a single-lumen tube after its exchange for a double-lumen tube despite the use of an airway-exchange catheter. Sung Mi Hwang; Jae Jun Lee; Su Jang; Nak Hun Lee // Saudi Journal of Anaesthesia;Apr-Jun2013, Vol. 7 Issue 2, p194 

    An airway-exchange catheter (AEC) can increase the safety of exchanges of endotracheal tubes (ETTs); however, the procedure is associated with potential risks. We describe a case of esophageal misplacement of a single-lumen ETT after switching from a double-lumen tube, despite the use of an AEC...

  • Pulmonary Alveolar Microlithiasis: A Case Report with Emphasis on Imaging Findings. Abdalla, Guilherme; Marchiori, Edson; Zanetti, Gláucia; Mucillo, Antonio; Pereira, Mariana Leite; Ventura, Nina; Martins, Pedro; Constantino, Carolina Pesce Lamas; Canellas, Rodrigo; Brandão, Viviane; de Oliveira, Romulo Varella // Case Reports in Medicine;2010, p1 

    Pulmonary alveolar microlithiasis (PAM) is a rare disease characterized by the presence of small calculi in the alveolar space. The authors report a case of a 21-year-old man with a 2-year history of shortness of breath on exertion and dry cough. Physical examination was altered only for...

  • Two Cases of Pulmonary Alveolar Microlithiasis in a Family. FARIBA, MANSOURI; MOHAMAD ALI, KAVIANPOUR // Journal of Medicine;2013, Vol. 14 Issue 1, p80 

    Pulmonary alveolar microlithiasis is a disease of unknown etiology. The disorder affects people at every age beginning from the early childhood. It usually occurs in a sporadic form, but an autosomal recessive form has been described, especially in patients from the Mediterranean countries. Our...

  • Abnormal U-shape course of central venous catheter. Raut, Monish S.; Maheshwari, Arun // Indian Journal of Critical Care Medicine;Feb2015, Vol. 19 Issue 2, p127 

    A letter to the editor is presented regarding a case study of a 50-year-old male patient with shortness of breath and had triple lumen central venous catheter (CVC).

  • Pulmonary alveolar microlithiasis. Giallauria, Francesco; Giallauria, Gabriele // Thorax;Sep2011, Vol. 66 Issue 9, p840 

    The article focuses on the diagnosis to a 37-year-old patient with severe dyspnoea and cough. It says that the patient has type 1 respiratory failure as shown in the arterial blood gas analysis. It states that patient was diagnosed with pulmonary alveolar microlithiasis (PAM) with cholelithiasis...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics