Multilobar pneumonia - pediatric

Case contributed by Michelle P
Diagnosis certain

Presentation

Fevers, a cough, abdominal pain and tachycardia. Immunisations were up to date.

Patient Data

Age: 3 years
Gender: Male
x-ray

Patchy air space opacification seen throughout the right lung, predominantly the right middle and lower zones with associated atelectasis. The left lung is essentially clear in comparison. 

Case Discussion

Initially the patient was thought to have a urinary tract infection, however, the chest x-ray performed demonstrated right sided multilobar pneumonia. 

This case demonstrates pediatric multilobar community acquired pneumonia of the right lung, most prominent in the middle and lower zones. 

No causative agent was identified, however, the patient responded well to empirical antibiotic therapy.  The left lung and pleural space are clear. 

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