Congenital diaphragmatic hernia masquerading as pneumonia

Emergency Medicine Australasia : EMA
Chung-por NgChin-hung Chung

Abstract

Patients with congenital diaphragmatic hernia usually present in the immediate neonatal period with respiratory distress. However, presentation beyond the neonatal period has sporadically been reported. We report a case of a 4-year-old girl who presented with a 1 month history of chronic cough and low-grade fever, with no response to multiple antibiotics. Initially, both clinical and radiological findings suggested inflammatory chest disease. Fortunately, after performing ultrasound, suspicion was raised and she was later diagnosed to have left congenital diaphragmatic hernia of Bochdalek type. Although rare, this entity should form one of the differential diagnoses of unresolving pneumonia in children.

References

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Citations

Oct 24, 2007·European Radiology·Michael Riccabona
Jul 13, 2013·Journal of Pediatric Surgery·Chris ParsonsRobert Wheeler
Aug 12, 2014·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·I San Martín GarcíaL Moreno Galarraga
Aug 18, 2006·Neonatal Network : NN·Barbara Puckett
May 23, 2008·Pediatric Emergency Care·Muhammad Waseem, Frances Quee

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