Published on


The x-ray shows an infiltrate and, likely, a pleural effusion. In addition, note the deviation of the trachea.
This child was sent to the hospital, where he had a pleural tap which returned pus. He was put on IV antibiotics.
It is very likely that this was an aggressive pneumococcal pneumonia that literally developed within the short time after the visit to the primary care doctor.

Had the urgent care physician not identified the infection, there is a good chance that the child would have seriously and quickly deteriorated.

 
Acknowledgment: Case presented by Nahum Kovalski, BSc, MDCM; the patient was treated by Dr. Eliyahu Sheleg of Terem Immediate Medical Care, Jerusalem, Israel.

Clinical Challenge: September, 2008

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
Tagged on: