Pneumonias - Child With Ductus

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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Question
My son, now 16 months old, was born in the 35th week. He had a ductus, but overcame it without surgery. He was treated with CPAP for the first 48 hours. He is quite sensitive to infections, especially in the airways. He has asthma, but only gets problems from it while infections. In less than six months he had three pneumonias, all on the same spot. In the middle, outside (understood?not towards the other lung) of the left lung. He has been treated ten days with penicillin each time, with good effect. We plan to vaccinate him against pneumoccoccus later this summer. Despite the above mentioned he is very strong, happy and content. All his infections has slowed down his development a bit, he just recently started walking. He have taken his chest X-ray 5 times so far. 2 times at neo-ward when premature. 1 time on each pneumonia. 1 Is these pneumonias just bad luck, or a sign on something else? 2 What can I do to prevent more coming? 3 What kind of, if any, investigation and treatment would you recommend? MANY THANKS for an answer, and please excuse my bad English - Swedish is my native language.
Answer
3 pneumonias in the same area of the lung requires investigation. First and foremost one needs to be sure that the pneumonia has resolved with antibiotics by doing an X ray after the course of antibiotics is over. Also one may need to do a CT scan of the chest to rule out a congenital anatomical lung defect that is causing the child to have repeated pneumonias in one area. If the CT is normal, a bronchoscopy may be required. If that is also normal, one may need to rule out an underlying weak immune system. Yes, you must vaccinate your child with pneumococcus and ven H. influenza B and make sure that he drinks boiled water only to help in prevention as far as possible. Back to All Questions

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