RESUMEN
Invasive aspergillosis (IA) is an aggressive disease with a high mortality rate requiring a high index of clinical suspicion in susceptible patients. We report an atypical presentation of IA, not previously published. A 2-year-old girl with underlying neuroblastoma developed IA, which manifested as fungal pneumonia associated with an intrabronchial polypoid mass.
Asunto(s)
Aspergilosis/complicaciones , Enfermedades Pulmonares Fúngicas/complicaciones , Neuroblastoma/complicaciones , Neutropenia/complicaciones , Aspergilosis/diagnóstico por imagen , Aspergillus flavus/aislamiento & purificación , Preescolar , Femenino , Humanos , Enfermedades Pulmonares Fúngicas/diagnóstico por imagen , Estadificación de Neoplasias , Neuroblastoma/patología , RadiografíaRESUMEN
We report a case of pneumothorax as a result of positive pressure ventilation in a child previously treated for empyema. Three months following discharge for successful treatment of empyema our patient received a general anesthetic for an elective MRI of the brain for investigation of nystagmus. During recovery from the anesthetic he developed respiratory distress and was found to have a loculated pneumothorax. We propose that pleural fragility in childhood empyema possibly persists even after clinical resolution and in this case for up to 3 months. The complication of pneumothorax should be considered in all patients receiving positive pressure ventilation following resolved empyema.