Acute chest syndrome (sickle cell disease)

Case contributed by Dr Hani Salam

Presentation

Chest pain.

Patient Data

Age: 30
Gender: Female

Low lung volume with bilateral basal opacities. 

No acute pulmonary embolism. Mild cardiomegaly. Bilateral posterior lower lobes patchy consolidations, suggestive of either multi-focal pneumonia or acute chest syndrome.

Case Discussion

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

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Case information

rID: 42375
Case created: 18th Jan 2016
Last edited: 17th Aug 2017
System: Chest
Inclusion in quiz mode: Included

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