Autor: |
John H. Priester, Prasanna Kumar, Jesse Naumann, Katherine Dolbec, Peter Weimersheimer, Christian D. Pulcini |
Jazyk: |
angličtina |
Rok vydání: |
2024 |
Předmět: |
|
Zdroj: |
Clinical Practice and Cases in Emergency Medicine, Vol 8, Iss 3, Pp 305-307 (2024) |
Druh dokumentu: |
article |
ISSN: |
2474-252X |
DOI: |
10.5811/cpcem.7216 |
Popis: |
Case Presentation: An 8-month-old infant presented to a general emergency department with chief complaints of rhinorrhea, decreased activity, and fever. A point-of-care lung ultrasound (LUS) was performed at bedside with potential early findings of pneumonia. Based on these findings on LUS, a chest radiograph (CXR) was ordered and performed with no acute findings. He was discharged without antibiotics based on these findings; unfortunately, he returned two days later with worsening symptoms requiring chest tube placement, mechanical ventilation, and prolonged hospitalization for complicated bacterial pneumonia. Discussion: Pneumonia is a major cause of pediatric morbidity and mortality worldwide. Despite evidence supporting the utilization of LUS for the diagnosis of pediatric pneumonia, CXR remains the default imaging for clinical decision-making in most settings. In this case, earlier antibiotics and higher reliance on LUS for clinical decision-making may have prevented the morbidity associated with this hospitalization. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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