National Journal of Emergency Medicine SEMI

Register      Login

VOLUME 2 , ISSUE 2 ( May-August, 2024 ) > List of Articles

CASE REPORT

Lung Abscess in a 12-year-old Child Identified Using Point-of-care Ultrasound in Emergency Medicine Department: A Case Report

Sruthi P, Nithyaraj Ramanathan

Keywords : Case report, Emergency medicine, Empirical antibiotics, Lung abscess, Point-of-care ultrasound

Citation Information : P S, Ramanathan N. Lung Abscess in a 12-year-old Child Identified Using Point-of-care Ultrasound in Emergency Medicine Department: A Case Report. Nat J Emerg Med 2024; 2 (2):51-55.

DOI: 10.5005/njem-11015-0041

License: CC BY-NC 4.0

Published Online: 20-11-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

A 12-year-old male child was presented to the emergency medicine department with common symptoms like fever and cough but with some probable abnormalities that we commonly miss out on. What makes this case interesting is that by using point-of-care ultrasound (POCUS) in the emergency medicine department itself, a massive lung abscess could be diagnosed within a very short period of time, thereby helping in the decision for further imaging with computed tomography (CT) against the risks of radiation exposure, especially in paediatric patients. Although chest radiography and CT are mandatory procedures to diagnose pulmonary abscess, POCUS is a very useful tool, especially in the emergency department.


HTML PDF Share
  1. Sabbula BR, Rammohan G, Athavale A, et al. Lung Abscess. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 [cited 2024 Jan 18]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK555920/.
  2. Ko Y, Tobino K, Yasuda Y, et al. A community-acquired lung abscess attributable to Streptococcus pneumoniae which extended directly into the chest wall. Intern Med 2017;56(1):109–113. DOI: 10.2169/internalmedicine.56.7398.
  3. Desai H, Agrawal A. Pulmonary emergencies: Pneumonia, acute respiratory distress syndrome, lung abscess and empyema. Med Clin North Am 2012;96(6):1127–1148. DOI: 10.1016/j.mcna.2012.08.007.
  4. Ito Y, Toyoshima H, Susuki T, et al. Lung abscess caused by Streptococcus pneumoniae serotype 6B. Respir Med Case Rep 2018;23:71–73. DOI: 10.1016/j.rmcr.2017.11.010.
  5. Patrawalla A, Dever LL. Lung abscess. In: Cunha CB, Cunha CB, editors. Schlossberg's Clinical Infectious Disease [Internet]. Oxford University Press; 2021 [cited 2024 Jan 18]. DOI: 10.1093/med/9780190888367. 003.0035
  6. Kuhajda I, Zarogoulidis K, Tsirgogianni K, et al. Lung abscess-etiology, diagnostic and treatment options. Ann Transl Med 2015;3(13):183. DOI: 10.3978/j.issn.2305-5839.2015.07.08.
  7. Yousef L, Yousef A, Al-Shamrani A. Lung abscess case series and review of the literature. Children (Basel) 2022;9(7):1047. DOI: 10.3390/children9071047.
  8. Yen CC, Tang RB, Chen SJ, et al. Pediatric lung abscess: A retrospective review of 23 cases. J Microbiol Immunol Infect 2004;37(1):45–49. PMID: 15060687.
  9. David MZ, Daum RS. Community-associated methicillin-resistant Staphylococcus aureus: Epidemiology and clinical consequences of an emerging epidemic. Clin Microbiol Rev 2010;23(3):616–687. DOI: 10.1128/CMR.00081-09.
  10. Moreira Jda S, Camargo Jde J, Felicetti JC, et al. Lung abscess: Analysis of 252 consecutive cases diagnosed between 1968 and 2004. J Bras Pneumol 2006;32(2):136–143. DOI: 10.1590/s1806-37132006000200009.
  11. Vaudaux P, Waldvogel FA. Gentamicin inactivation in purulent exudates: Role of cell lysis. J Infect Dis 1980;142(4):586–593. DOI: 10.1093/infdis/142.4.586.
  12. Yu H. Management of pleural effusion, empyema, and lung abscess. Semin Intervent Radiol 2011;28(1):75–86. DOI: 10.1055/s-0031-1273942.
  13. Piccolo F, Popowicz N, Wong D, Lee YCG. Pleural tissue plasminogen activator and deoxyribonuclease therapy for pleural infection. J Thorac Dis 2015;7(6):999–1008. DOI: 10.3978/j.issn.2072-1439.2015.01.30.
  14. Giachetti E, Raffaldi I, Delmonaco AG, Tardivo I, Versace A, Bondone C, et al. Point-of-care ultrasound in the pediatric emergency department to diagnose lung abscess. Pediatr Neonatol 2023;64(1):83–84. DOI: 10.1016/j.pedneo.2021.11.015.
  15. Moore CL, Copel JA. Point-of-care ultrasonography. N Engl J Med 2011;364(8):749–757. DOI: 10.1056/NEJMra0909487.
  16. Huyler A, Mackenzie D, Wilson CN. Lung abscess diagnosed by ultrasound. Clin Exp Emerg Med 2022;9(1):70–71. DOI: 10.15441/ceem.21.069.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.