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©The Author(s) 2024.
World J Radiol. Aug 28, 2024; 16(8): 362-370
Published online Aug 28, 2024. doi: 10.4329/wjr.v16.i8.362
Published online Aug 28, 2024. doi: 10.4329/wjr.v16.i8.362
Table 1 Laboratory tests conducted after admission
Laboratory test | Results | Reference value |
WBC (L) | 10.6 × 109 | 5.1-14.1 × 109 |
Neutrophil count (L) | 4.88 × 109 (46%) | 0.8-5.8 × 109 |
Lymphocyte count (L) | 4.1 × 109 (38.7%) | 2.4-8.7 × 109 |
Monocyte count (L) | 1.4 × 109 (12.8%) | 0.18-1.13 × 109 |
Hemoglobin (g/L) | 106 g/L | 107-141 |
Platelet count (L) | 354 × 109 | 190-524 × 109 |
C-reactive protein (mg/L) | 65.45 | < 10 |
Interleukin- 6 (pg/mL) | 24.82 | < 7.0 |
Procalcitonin (ng/L) | 0.85 | < 0.05 |
ESR (mm/h) | 65 | 0-15 |
Blood coagulation function test | Normal | Normal |
Immunoglobulin testing (5 items) | Normal | Normal |
Liver function | Normal | Normal |
Renal function | Normal | Normal |
Myocardial enzyme | Normal | Normal |
T-SPOT.TB, PPD, Tuberculosis smear (BALF) | Negative | Negative |
Pharynx swab, Blood, BALF culture | Negative | Negative |
Serum respiratory pathogen antibody (6 items)1 | Negative | Negative |
Respiratory tract pathogen PCR (27 items)2 | Negative | Negative |
Mycoplasma pneumoniae DNA (BALF) | < 1.0 × 104 | < 1.0 × 104 |
mNGS (BALF) | Pathogens: Streptococcus pseudopneumoniae: 36449 sequences. Human herpesvirus 5: 926 sequences. Human parainfluenza virus type 3: 2089 sequences | |
Antibiotic resistance genes: No antibiotic resistance genes were detected | ||
Genes specific to Streptococcus pseudopneumoniae: Pseudo_232, 901, 231, 902, 899, 228, 1764, 641, 1933 (5) | ||
PLY gene |
Table 2 Timeline of patient’ s course of illness
Date | Symptoms onset | Imaging examination | Treatments administered | Follow-up outcomes |
August 30, 2023 | Persistent cough for seven days and fever for five days | None | Ceftazidime was given for anti-infective treatment | Temperature returned to normal |
September 2, 2023 | Temperature was normal, but cough was still serious | Pulmonary CT | Continue anti-infective treatment | Inflammation of the posterior upper lobe of the right lung with abscess formation |
September 4, 2023 | The frequency of coughing slightly decreased | None | Bronchoalveolar lavage | The frequency of coughing decreased. |
September 8, 2023 | The frequency of coughing obviously disappeared | Pulmonary CT | Continue anti-infective treatment | |
September 14, 2023 | None | None | Cefdinil was given for anti-infective treatment | Hospital discharge |
October 9, 2023 | None | Pulmonary CT | None | The abscess was resorbed and the patient’s outcome was good |
- Citation: Ma R, Wang YM, Guan H, Zhang L, Zhang W, Chen LC. Pulmonary abscess caused by Streptococcus pseudopneumoniae in a child: A case report and review of literature. World J Radiol 2024; 16(8): 362-370
- URL: https://www.wjgnet.com/1949-8470/full/v16/i8/362.htm
- DOI: https://dx.doi.org/10.4329/wjr.v16.i8.362