Necrotizing Pneumonia Complicated by Pulmonary Artery and Middle Cerebral Artery Pseudoaneurysms in A Healthy Young Child in Saudi Arabia
Alenazi, A., Albassam, D., Baqais, K., Al-Shamrani, A. (2020). Necrotizing Pneumonia Complicated by Pulmonary Artery and Middle Cerebral Artery Pseudoaneurysms in A Healthy Young Child in Saudi Arabia. EKB Journal Management System, 81(1), 1226-1230. doi: 10.21608/ejhm.2020.110699
Ayed Alenazi; Dana Albassam; Khaled Baqais; Abdullah Al-Shamrani. "Necrotizing Pneumonia Complicated by Pulmonary Artery and Middle Cerebral Artery Pseudoaneurysms in A Healthy Young Child in Saudi Arabia". EKB Journal Management System, 81, 1, 2020, 1226-1230. doi: 10.21608/ejhm.2020.110699
Alenazi, A., Albassam, D., Baqais, K., Al-Shamrani, A. (2020). 'Necrotizing Pneumonia Complicated by Pulmonary Artery and Middle Cerebral Artery Pseudoaneurysms in A Healthy Young Child in Saudi Arabia', EKB Journal Management System, 81(1), pp. 1226-1230. doi: 10.21608/ejhm.2020.110699
Alenazi, A., Albassam, D., Baqais, K., Al-Shamrani, A. Necrotizing Pneumonia Complicated by Pulmonary Artery and Middle Cerebral Artery Pseudoaneurysms in A Healthy Young Child in Saudi Arabia. EKB Journal Management System, 2020; 81(1): 1226-1230. doi: 10.21608/ejhm.2020.110699

Necrotizing Pneumonia Complicated by Pulmonary Artery and Middle Cerebral Artery Pseudoaneurysms in A Healthy Young Child in Saudi Arabia

The Egyptian Journal of Hospital Medicine
Article 11, Volume 81, Issue 1, October 2020, Page 1226-1230  XML PDF (486.59 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2020.110699
View on SCiNiTO View on SCiNiTO
Authors
Ayed Alenazi; Dana Albassam; Khaled Baqais; Abdullah Al-Shamrani
Department of Pediatric, Prince Sultan Medical Military City.
Abstract
Background: Necrotizing pneumonia (NP) is a common complication of community-acquired pneumonia. However, pulmonary artery pseudoaneurysm (PAP) is a rare but serious complication that could follow the infection including NP even in previously healthy children. The usual presentation of PAP are fever, cough with hemoptysis, which is commonly encountered in significant numbers of bronchopneumonia.
Objective: Prompt diagnosis and early intervention to prevent a fatality, identification of the underlying cause, prognosis and outcome.
Material and Methods: A case report of PAP and cerebral pseudoaneurysm complicating NP with residual central nervous system sequelae.
Results: The patient stayed in the hospital for 6 weeks, received vancomycin and meropenem, antifungal therapy, levetiracetam for seizure and prophylactic enoxaparin. His level of consciousness was gradually improving. However, he had left hemiparesis. His speech and swallowing was markedly improved. His follow up chest x-ray 6 months after the vent was normal.
Conclusion: Many causes for PAP exist including lung infection. PAP need to be considered in patients with pneumonia who develop hemoptysis. Cerebral artery pseudoaneurysm can rarely complicate NP with PAP, especially in patients with neurological manifestations.
Keywords
Necrotizing pneumonia (NP); Pulmonary artery pseudoaneurysm (PAP); cerebral artery pseudoaneurysm; endovascular embolization
Statistics
Article View: 201
PDF Download: 462