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2012, Number 3

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Gaceta Médica Espirituana 2012; 14 (3)

Recurrent pneumonia: clinical presentation of idiopatic pulmonary hemosiderosis in a 3 years old girl patient

Orellana MGA, González OM

Language: Spanish
References: 10
Page:
PDF size: 235.56 Kb.


ABSTRACT

Background: Recurrent pneumonia in childhood is defined as the presence of two episodes of pneumonia in a year or three in any period of time, with a normal thorax X-ray between the two episodes. There are several causes that may produce it, among them we find pulmonary idiopathic hemosiderosis, infrequent disease in pediatric age. The classic triad which characterizes the pulmonary idiopathic hemosiderosis is not always observed in patients with this disease. Today, there are divergent results about treatment, prognosis and survival of the patients studied. The objective of the work is to illustrate the importance of the identification in children with recurrent pneumonia criteria as well as to permit an early diagnosis of underlying diseases. Case presentation: A 3 year old girl was assessed for having cough and recurrent infiltrates in the thorax X-ray. The diagnosis of pulmonary hemosiderosis was given from the clinical data, radiological data and the procurement of macrophages loaded with hemosiderin at bronchi alveolar washing. Conclusion: The timely identification of a 3 years old girl with recurrent pneumonia permitted the early diagnosis of pulmonary idiopathic hemosiderosis


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