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110699

Necrotizing Pneumonia Complicated by Pulmonary Artery and Middle Cerebral Artery Pseudoaneurysms in A Healthy Young Child in Saudi Arabia

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Last updated: 03 Jan 2025

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Abstract

Background: Necrotizing pneumonia (NP) is a common complication of community-acquired pneumonia. However, pulmonary artery pseudoaneurysm (PAP) is a rare but serious complication that could follow the infection including NP even in previously healthy children. The usual presentation of PAP are fever, cough with hemoptysis, which is commonly encountered in significant numbers of bronchopneumonia.
Objective: Prompt diagnosis and early intervention to prevent a fatality, identification of the underlying cause, prognosis and outcome.
Material and Methods: A case report of PAP and cerebral pseudoaneurysm complicating NP with residual central nervous system sequelae.
Results: The patient stayed in the hospital for 6 weeks, received vancomycin and meropenem, antifungal therapy, levetiracetam for seizure and prophylactic enoxaparin. His level of consciousness was gradually improving. However, he had left hemiparesis. His speech and swallowing was markedly improved. His follow up chest x-ray 6 months after the vent was normal.
Conclusion: Many causes for PAP exist including lung infection. PAP need to be considered in patients with pneumonia who develop hemoptysis. Cerebral artery pseudoaneurysm can rarely complicate NP with PAP, especially in patients with neurological manifestations.

DOI

10.21608/ejhm.2020.110699

Keywords

Necrotizing pneumonia (NP), Pulmonary artery pseudoaneurysm (PAP), cerebral artery pseudoaneurysm, endovascular embolization

Authors

First Name

Ayed

Last Name

Alenazi

MiddleName

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Affiliation

Department of Pediatric, Prince Sultan Medical Military City.

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Orcid

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First Name

Dana

Last Name

Albassam

MiddleName

-

Affiliation

Department of Pediatric, Prince Sultan Medical Military City.

Email

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City

-

Orcid

-

First Name

Khaled

Last Name

Baqais

MiddleName

-

Affiliation

Department of Pediatric, Prince Sultan Medical Military City.

Email

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City

-

Orcid

-

First Name

Abdullah

Last Name

Al-Shamrani

MiddleName

-

Affiliation

Department of Pediatric, Prince Sultan Medical Military City.

Email

dr.alshamrani99@gmail.com

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Orcid

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Volume

81

Article Issue

1

Related Issue

16813

Issue Date

2020-10-01

Receive Date

2020-09-03

Publish Date

2020-10-01

Page Start

1,226

Page End

1,230

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 1_Pages 1226-1230.pdf

PDF . 498.3kB

Link

https://ejhm.journals.ekb.eg/article_110699.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=110699

Order

11

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Necrotizing Pneumonia Complicated by Pulmonary Artery and Middle Cerebral Artery Pseudoaneurysms in A Healthy Young Child in Saudi Arabia

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Article

Created At

22 Jan 2023