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Journal of Tropical Pediatrics Advance Access first published online on November 21, 2008
This version published online on December 12, 2008
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmn098
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© The Author [2008]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Brief Report

Clinical Notations on Bacteremic Cavitating Pneumococcal Pneumonia in Nonvaccinated Immunocompetent Children

A. Fretzayasa, M. Moustakia, E. Alexopouloub, G. Nychtaria, P. Nicolaidoua and K. N. Priftisc

a3rd Department of Pediatrics, and
bDepartment of Radiology, University of Athens, ‘Attikon’ University Hospital, 12462 Haidari, Athens, Greece
cDepartment of Allergy and Pulmonology, ‘Penteli’ Children's Hospital, 15236 Penteli, Attiki Greece

Correspondence: Andrew Fretzayas, 3rd Dept of Pediatrics, Attikon University Hospital, 1 Rimini str, 12462 Haidari, Athens, Greece. Tel.: 00302105831299; Fax.: 00302105832229; E-mail: <maria-m{at}otenet.gr>.


  Abstract

We describe 10 children who developed lung cavitation during the treatment of bacteremic pneumococcal lobar pneumonia. Chest CT scan showed extensive consolidation with several small lucencies and air-filled cavities. Invasive procedures like aggressive pleural intervention were not needed and the children recovered attaining normal lung function on long-term follow-up.

Key Words: cavitating pneumonia • Streptococcus pneumoniae • empyema • drainage


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