Acute chest syndrome (sickle cell disease)

Case contributed by Dr Hani Salam

Presentation

Chest pain.

Patient Data

Age: 30 years
Gender: Female

Low lung volume with bilateral basal opacities. 

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 anaemia in the setting of acute chest pain highly suggestive of acute chest syndrome. For this particular patient, a throat bacterial culture was +4 β-haemolytic streptococcus Group A (S. pyogenes).

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Case information

rID: 42375
Case created: 18th Jan 2016
Last edited: 12th Apr 2018
System: Chest
Inclusion in quiz mode: Included

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