BILATERAL PNEUMOTHORAX COMPLICATING SEPTIC PULMONARY EMBOLI IN A CHILD WITH OSTEOMYELITIS

Sheeza Imtiaz, Muhammad Saad Ahmed, Ambreen Ibrahim, Muhammad Kashif Shazlee

Abstract


Osteomyelitis in childrens are primarily hematogeneous in origin although cases secondary to trauma, surgery or infection in contiguous sites are also reported. Septic pulmonary emboli is a rare complication of osteomyelitis. Numerous pulmonary complications of septic pulmonary embolism have been described, but only a few have reported spontaneous pneumothorax. High clinical suspicion should be raised in patients with osteomyelitis presenting with shortness of breath for prompt diagnosis and treatment.Here we present a rare case of bilateral pneumothorax complicating septic pulmonary emboli in a nine year old child with biopsy proven osteomyelitis.


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References


Thabet FC, Alhejaili AS, Alodayani AN, Chehab MS. Septic pulmnary embolism secondary to staphylococcus aureus septic thrombophlebitis in a peadiatric patient. Saudi Med J. 2013;34(10):1080-82

MacMillan JC, Milstein SH, Samson PC. Clinical spectrum of septic pulmonary embolism and infarction. J Thorac Cardiovasc Surg. 1978;75:670–9.

Wong KS, Lin TY, Huang YC, Hsia SH, Yang PH and Chu SM. Clinical and radiographic spectrum of septic pulmonary embolism. Arch Dis Child. 2002;87:312-15.

Gonzalez BE, Hulten KG, Dishop MK, Lamberth LB, Hammerman WA, Mason EO, et al. Pulmonary manifestations in children with invasive community-acquired Staphylococcus aureus infection. Clin. Infect. Dis. 2005;41:583-590.

Miyashita T, Shimamoto Y, Nishiya H, Koshibu Y, Sugiyama H, Ono, T. et al. Destructive pulmonary embolism in a patient with community-acquired staphylococcal bacteremia. J. Infect Chemother. 2002;8:99-102

Yuksel H, Yilmaz O, Orguc S, Yercan HS, and Aydogan D. A pediatric case of pyomyositis presenting with septic pulmonary emboli. Joint Bone Spine. 2007;74:491-94.

Cohen RI, Rossoff LJ. A patient with fever and an abnormal roentgenogram. Eur Respir J 1994;7:1719–20.

Sheu CC, Hwang JJ, Tsai JR, Wang TH, Chong IW, Huang MS. Spontaneous Pneumothorax as a complication of septic pulmonary embolism in an Intravenous Drug User: A Case Report. Kaohsiung J Med Sci. 2006;22:89-93.


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