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JCR 2016
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سه شنبه 2 دی 1404
Tanaffos
، جلد ۲۳، شماره ۳، صفحات ۳۱۹-۳۲۱
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عنوان انگلیسی
A 3-Year-Old Male Patient with A History of Fever, Cough, and Abdominal Pain
چکیده انگلیسی مقاله
WHAT IS YOUR DIAGNOSIS?
A 3-year-old male patient, presented with complaints of cough with fever, and vomiting for 4 days. He has experienced occasional fevers and abdominal pain for the past two months, which have not improved despite medical treatment. In the patient's examination, he had a fever and reduced pulmonary sound on the right side. The patient consulted a pediatric resident for the abovementioned complaints and was advised to do a chest X-ray. It showed a right mid and lower zone opacification. Computerized tomography (CT) of the thorax (Figures 1) revealed a mass-like collapse consolidation in the right lung associated with loculated pleural effusion. Puncture of pleural fluid was performed for the patient. The appearance of pleural fluid was purulent and the related lab data were as follows: WBC: many (PMN: 89%, LYMPH: 9%), BS<20, Protein: 3.6, LDH>15000, and general biochemistry were BS:125, LDH:490, and total protein: 8. The patient was fitted with a chest tube and started on antibiotic treatment with meropenem and vancomycin. Despite the antibiotic treatment and having a chest tube, the patient did not stop the fever and cough.
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نویسندگان مقاله
Maryam Hassanzad |
Pediatric Respiratory Diseases Research Center (PRDRC), National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Korosh Fakhimi Derakhshan |
Pediatric Disease Research Center, Guilan University of Medical Sciences, Rasht, Iran
نشانی اینترنتی
https://www.tanaffosjournal.ir/article_726130_2e54de40edfd978b05589471e12d03bb.pdf
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