Abstract
Community-acquired pneumonia (CAP) is a leading cause of childhood death. There are few published reports of radiographic findings among children with severe CAP. To describe chest X-ray (CXR) findings and assess association between these radiographic findings and pneumococcal isolation in children with severe CAP. A prospective, multicenter, observational study was conducted in 12 centers in Argentina, Brazil, and the Dominican Republic. Children aged 3-59 months, hospitalized with severe pneumonia, were included. On admission, blood and pleural effusion cultures were performed. Streptococcus pneumoniae was identified according to standard procedures in the respective national reference laboratory. Chest X-rays were taken on admission and read before the culture results were reported. Out of 2,536 enrolled patients, 283 (11.2%) had S. pneumoniae isolated, in 181 cases (7.1%) from blood. The follow radiographic patterns were observed: alveolar infiltrate (75.2%), pleural effusion (15.6%), and interstitial infiltrate (9.2%). Overall, pleural effusion was associated with pneumococcal isolation and pneumococcal bacteremia (P < 0.001). Infiltrates were unilateral (78.7%) or bilateral (21.3%), right-sided (76%) or left-sided (24%), ...Continue Reading
References
Apr 1, 1993·Acta Paediatrica·M KorppiS Soimakallio
Aug 29, 2001·Journal of Tropical Pediatrics·C M Nascimento-CarvalhoY Benguigui
Apr 30, 2002·Thorax·R VirkkiO Ruuskanen
Aug 31, 2002·Journal of Tropical Pediatrics·Cristiana M C Nascimento-CarvalhoJosé Luis Di Fabio
Sep 5, 2003·The Lancet Infectious Diseases·Sunil SazawalUNKNOWN Pneumonia Case Management Trials Group
Apr 3, 2004·Pediatrics·Ian C MichelowGeorge H McCracken
Mar 30, 2005·Lancet·Jennifer BryceUNKNOWN WHO Child Health Epidemiology Reference Group
Jul 13, 2005·Pediatric Pulmonology·R VirkkiO Ruuskanen
Aug 23, 2006·BMJ : British Medical Journal·Tabish HazirSyed Asif Masood
Aug 31, 2006·The Pediatric Infectious Disease Journal·John HansenJanelle Lee
Sep 13, 2007·Archives of Disease in Childhood·Maria Regina A CardosoUNKNOWN CARIBE Group
Nov 17, 2007·Archives of Disease in Childhood·C S D RoxburghS W Turner
Feb 11, 2009·Pediatric Pulmonology·Ng Kin KeyCristiana Maria Nascimento-Carvalho
Citations
Sep 17, 2013·Italian Journal of Pediatrics·Maria Francesca PatriaSusanna Esposito
Jan 16, 2013·PloS One·Claudia TurnerFrançois Nosten
Sep 16, 2011·Vaccine·Ana Lucia AndradeJoão Guimarães Andrade
Apr 15, 2011·Pediatric Pulmonology·Massimiliano Don, Mario Canciani
Dec 18, 2013·Acta Paediatrica·Elena ChiappiniMaurizio de Martino
Dec 18, 2013·Pediatric Pulmonology·Massimiliano Don
Jun 3, 2015·Hospital Pediatrics·Pui-Ying Iroh TamPatricia Ferrieri
Sep 24, 2014·Archives of Disease in Childhood·Julia E Clark
Aug 15, 2020·BMJ Global Health·Chris A ReesUNKNOWN World Health Organization PREPARE study group
Jun 1, 2018·Journal of the Pediatric Infectious Diseases Society·Preston Dean, Todd A Florin
May 17, 2019·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Raúl O RuvinskyCarla Vizzotti
Nov 10, 2015·Kansenshōgaku zasshi. The Journal of the Japanese Association for Infectious Diseases·Akira TakakuraNoriyuki Masuda
Mar 17, 2017·PloS One·I-Chen ChenZen-Kong Dai
Sep 2, 2021·The Journal of Infectious Diseases·Sana S AhmedJesús Feris-Iglesias
Jul 28, 2021·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Kaatje BollaertsBradford D Gessner