Medical mishap as a cause of non‐resolving pneumonia. Issue 10 (30th May 2017)

• Record Type: Journal Article
• Authors: Toukan, Yazeed; Gur, Michal; Nir, Vered; Bentur, Lea
• Is Part Of: Pediatric pulmonology. Volume 52:Issue 10(2017)
• Page Start: E67
• Page End: E69
• Publication Date: 2017-05-30
• Subjects: appendicolith -- liver abscess -- non‐resolving pneumonia; Pediatric respiratory diseases -- Periodicals; Pediatrics -- Periodicals; 618.922
• DOI: 10.1002/ppul.23737
• Languages: English
• ISSNs: 8755-6863

Abstract

Abstract: A 15‐year old boy was referred for evaluation of fever, productive cough, and recurrent/persistent right lower lobe (RLL) pneumonia of 1‐month duration. Chest computed tomography scan showed RLL consolidation, with minimal pleural effusion and a liver abscess with sharp borders, containing a solid calcification in the lower portion. History revealed acute appendicitis with laparoscopic appendectomy 6 months prior to presentation, during which a fecalith dropped to the peritoneal cavity. Following laparoscopically guided drainage of the abscess the patient improved. Herein we describe a rare case of non‐resolving RLL pneumonia secondary to pyogenic liver abscess caused by dropped appendicolith.