Background: Lung abscesses are rare in childhood and very rare in early infancy and neonates. With a predicted incidence of 7 per 1000,000 admissions per year. Furthermore, Neonatal lung abscesses are usually of multi-bacterial etiology. In addition, Risk factors in neonates include prematurity, ventilation, congenital lung malformation, and aspiration. Here, we are reporting a 21 day- old baby, full term, normal vaginal delivery, no history of NICU admission, no resuscitation at birth, group B streptococcus screening is negative, breast feeding, and no respiratory distress at birth, who presented with unusual picture of mild cough and flu without fever or other symptoms, and was diagnosed as a lung abscess, which is probably one of the few cases reported in the literature in neonates. Case presentation: A 3-week-old boy presented with unusual symptoms of cough, flu, without fever, or other manifestations. The Diagnosis of lung abscess was based on chest CT scan. Empirically treated with intravenous antibiotics was started. Then, patient was discharged from the hospital with an outpatient follow-up. At the time of discharge, he had reassuring vital signs and a normal physical examination. At the follow-up visit after one week, no clinical symptoms were reported and the physical examination was normal. Conclusion: unexpected case of lung abscess in neonates is very rare and distinctive condition, so our recommendations for pediatricians are to be vigilant about the silent presentation of infection in neonates.
| Published in | American Journal of Pediatrics (Volume 9, Issue 2) |
| DOI | 10.11648/j.ajp.20230902.16 |
| Page(s) | 85-91 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
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Copyright © The Author(s), 2024. Published by Science Publishing Group |
Lung Abscess, Neonatal Infection, Sepsis
| [1] | Albusie H, Fitzgerald DA. Lung abscess in children. Pediatr Infect Dis J. 2009; 4: 27-35. |
| [2] | Patradoon-Ho P, Fitzgerald DA. Lung abscess in children. Paediatr Respir Rev. 2007; 8: 77-84. |
| [3] | Choi, M. S.; Chun, J. H.; Lee, K. S.; Rha, Y. H.; Choi, S. H. Clinical characteristics of lung abscess in children: 15-Year experience at two University Hospitals. Korean J. Pediatr. 2015, 58, 478-483. [CrossRef] [PubMed]. |
| [4] | Feki, W.; Ketata, W.; Bahloul, N.; Ayadi, H.; Yangui, I.; Kammoun, S. Lung abscess: Diagnosis and management. Rev. Des Mal. Respir. 2019, 36, 707-719. [CrossRef] [PubMed]. |
| [5] | Madhani, K.; McGrath, E.; Guglani, L. A 10-year retrospective review of pediatric lung abscesses from a single center. Ann. Thorac. Med. 2016, 11, 191-196. [PubMed]. |
| [6] | Sabbula, B. R.; Rammohan, G.; Akella, J. Lung Abscess. Stat Pearls. Available online: https://www.ncbi.nlm.nih.gov/books/ NBK555920/ (accessed on 2 January 2022). |
| [7] | Kuhajda, I.; Zarogoulidis, K.; Tsirgogianni, K.; Tsavlis, D.; Kioumis, I.; Kosmidis, C.; Tsakiridis, K.; Mpakas, A.; Zarogoulidis, P.; Zissimopoulos, A.; et al. Lung abscess-etiology, diagnostic and treatment options. Ann. Transl. Med. 2015, 3, 183. [PubMed]. |
| [8] | Thadchanamoorthy, V.; Dayasiri, K. Pulmonary tuberculosis presenting as lung abscess in a 10-month-old infant. Respir. Med. Case Rep. 2020, 31, 101229. [CrossRef] [PubMed]. |
| [9] | Moore TC, Battersby JS. Pulmonary abscess in infancy and childhood: Report of 18 cases. Ann Surg. 1960; 151: 496-500. |
| [10] | Bruckheimer E, Dolberg S, Shlesinger Y, Bar Ziv Y, Branski D, Kerem E. Primary lung abscess in infancy. Pediatr Pulmonol. 1995; 19: 188-91. |
| [11] | Siegel JD, McCracken GH (1979) Neonatal lung abscess. Am J Dis Child 133 (9): 947-949. |
| [12] | Levison J, Van Asperen P, Wong C, Harvey J, Halliday R (2004) The value of a CT-guided fine needle aspirate in infants with lung abscess. J Paediatr Child Health 40 (8): 474-476. |
| [13] | Tan TQ, Seilheimer DK, Kaplan SL (1995) Pediatric lung abscess: clinical management and outcome. Pediatr Infect Dis J 14 (1): 51-55. |
| [14] | Lee SK, Morris RF, Cramer B (1991) Percutaneous needle aspiration of neonatal lung abscesses. Pediatr Radiol 21 (4): 254-257. |
| [15] | Mishra R, Mishra T, Ratan K, Abrol P, Kadian Y; Right upper lobe lung abscess in an infant. Internet J Surg., 2009; 20: 1. |
| [16] | Lacy SR, Kosloske AM; Pneumonostomy in the management of pediatric lung abscess. J Pediatr Surg., 1983; 18: 625-627. |
| [17] | Al-Salem AH, Ali EA; Computed tomography-guided percutaneous needle aspiration of lung abscesses in neonates and children. Pediatr Surg Int., 1997; 12: 417-419. |
| [18] | Yen CC, Tang RB, Chen SJ, Chin TW; Pediatric lung abscess: a retrospective review of 23 cases. J Microbiol Immunol Infect., 2004; 37: 45-49. |
| [19] | Adhisivam B, Mahadevan S, Udaykumar C; Lung abscess caused by Salmonellae. Indian Journal of Pediatrics, 2006; 73: 76-77. |
| [20] | Muthusamy S, Pandya H, Luyt D; Cough and tachypnoea in a toddler. J R Soc Med., 2003; 96: 81-82. |
APA Style
Mahmoud Alhandi Omar Helal, Shaikha Nasser Al-Thani, Dhabiya Al-kubaisi, Wadha Al-Shafi, Farah Falah Kadhim Al Khawaja, et al. (2023). Silent Lung Abscess in a Newborn: A Case Report. American Journal of Pediatrics, 9(2), 85-91. https://doi.org/10.11648/j.ajp.20230902.16
ACS Style
Mahmoud Alhandi Omar Helal; Shaikha Nasser Al-Thani; Dhabiya Al-kubaisi; Wadha Al-Shafi; Farah Falah Kadhim Al Khawaja, et al. Silent Lung Abscess in a Newborn: A Case Report. Am. J. Pediatr. 2023, 9(2), 85-91. doi: 10.11648/j.ajp.20230902.16
AMA Style
Mahmoud Alhandi Omar Helal, Shaikha Nasser Al-Thani, Dhabiya Al-kubaisi, Wadha Al-Shafi, Farah Falah Kadhim Al Khawaja, et al. Silent Lung Abscess in a Newborn: A Case Report. Am J Pediatr. 2023;9(2):85-91. doi: 10.11648/j.ajp.20230902.16
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author = {Mahmoud Alhandi Omar Helal and Shaikha Nasser Al-Thani and Dhabiya Al-kubaisi and Wadha Al-Shafi and Farah Falah Kadhim Al Khawaja and Amal Alnajjad and Hafez Alsliman and Mohamed Alaido and Mohammad Qusad and Loma Abdulla Al Enzi and Mona Altemimi},
title = {Silent Lung Abscess in a Newborn: A Case Report},
journal = {American Journal of Pediatrics},
volume = {9},
number = {2},
pages = {85-91},
doi = {10.11648/j.ajp.20230902.16},
url = {https://doi.org/10.11648/j.ajp.20230902.16},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20230902.16},
abstract = {Background: Lung abscesses are rare in childhood and very rare in early infancy and neonates. With a predicted incidence of 7 per 1000,000 admissions per year. Furthermore, Neonatal lung abscesses are usually of multi-bacterial etiology. In addition, Risk factors in neonates include prematurity, ventilation, congenital lung malformation, and aspiration. Here, we are reporting a 21 day- old baby, full term, normal vaginal delivery, no history of NICU admission, no resuscitation at birth, group B streptococcus screening is negative, breast feeding, and no respiratory distress at birth, who presented with unusual picture of mild cough and flu without fever or other symptoms, and was diagnosed as a lung abscess, which is probably one of the few cases reported in the literature in neonates. Case presentation: A 3-week-old boy presented with unusual symptoms of cough, flu, without fever, or other manifestations. The Diagnosis of lung abscess was based on chest CT scan. Empirically treated with intravenous antibiotics was started. Then, patient was discharged from the hospital with an outpatient follow-up. At the time of discharge, he had reassuring vital signs and a normal physical examination. At the follow-up visit after one week, no clinical symptoms were reported and the physical examination was normal. Conclusion: unexpected case of lung abscess in neonates is very rare and distinctive condition, so our recommendations for pediatricians are to be vigilant about the silent presentation of infection in neonates.},
year = {2023}
}
TY - JOUR T1 - Silent Lung Abscess in a Newborn: A Case Report AU - Mahmoud Alhandi Omar Helal AU - Shaikha Nasser Al-Thani AU - Dhabiya Al-kubaisi AU - Wadha Al-Shafi AU - Farah Falah Kadhim Al Khawaja AU - Amal Alnajjad AU - Hafez Alsliman AU - Mohamed Alaido AU - Mohammad Qusad AU - Loma Abdulla Al Enzi AU - Mona Altemimi Y1 - 2023/06/10 PY - 2023 N1 - https://doi.org/10.11648/j.ajp.20230902.16 DO - 10.11648/j.ajp.20230902.16 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 85 EP - 91 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20230902.16 AB - Background: Lung abscesses are rare in childhood and very rare in early infancy and neonates. With a predicted incidence of 7 per 1000,000 admissions per year. Furthermore, Neonatal lung abscesses are usually of multi-bacterial etiology. In addition, Risk factors in neonates include prematurity, ventilation, congenital lung malformation, and aspiration. Here, we are reporting a 21 day- old baby, full term, normal vaginal delivery, no history of NICU admission, no resuscitation at birth, group B streptococcus screening is negative, breast feeding, and no respiratory distress at birth, who presented with unusual picture of mild cough and flu without fever or other symptoms, and was diagnosed as a lung abscess, which is probably one of the few cases reported in the literature in neonates. Case presentation: A 3-week-old boy presented with unusual symptoms of cough, flu, without fever, or other manifestations. The Diagnosis of lung abscess was based on chest CT scan. Empirically treated with intravenous antibiotics was started. Then, patient was discharged from the hospital with an outpatient follow-up. At the time of discharge, he had reassuring vital signs and a normal physical examination. At the follow-up visit after one week, no clinical symptoms were reported and the physical examination was normal. Conclusion: unexpected case of lung abscess in neonates is very rare and distinctive condition, so our recommendations for pediatricians are to be vigilant about the silent presentation of infection in neonates. VL - 9 IS - 2 ER -
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