Acute chest syndrome - sickle cell disease

Case contributed by Hani M. Al Salam
Diagnosis almost certain

Presentation

Chest pain.

Patient Data

Age: 30 years
Gender: Female
Frontal
Lateral
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Info

Low lung volume with bilateral basal opacities. 

This study is a stack
Axial lung
window
This study is a stack
Axial
C+ CTPA
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Info

No acute pulmonary embolism. Mild cardiomegaly. Bilateral posterior lower lobe patchy consolidations, suggestive of either multifocal pneumonia or acute chest syndrome.

Case Discussion

Bilateral lower lobe patchy consolidation in a patient with sickle cell anemia in the setting of acute chest pain highly suggestive of acute chest syndrome. For this particular patient, a throat bacterial culture was +4 β-hemolytic streptococcus Group A (S. pyogenes).

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