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Journal of Public Health and Nutrition | Volume 2
July 05-06, 2019 | Paris, France
International Conference and Exhibition on
17
th
World Congress on
Probiotics, Nutrition and Functional Foods
Pediatrics and Nutrition
Joint Event
&
Mycotic aneurysms of pulmonary artery in a young girl with Sickle Cell Disease
Basheer Ahmed
and
Cittana Iqbal
King Fahad Armed Forces Hospital, Saudi Arabia
Background:
Mycotic aneurysms of Pulmonary artery (PA)
are a rare entity, and furthermore it is very rare in pediatrics.
Its association with infection, structural cardiac and vascular
anomalies, vasculitis, and pulmonary hypertension has been
noted. To our knowledge, this is the first reported case of
mycotic aneurysms of pulmonary artery in a child with sickle
cell disease (SCD).
Aim:
To report a rare complication of mycotic aneurysms of
pulmonary artery in a patient with SCD.
Case report:
10-year-old girl, with SCD presented with dental
abscess and was treated in her
local hospital, she subsequently went on to develop swelling
around the neck, with difficulty in breathing and swallowing,
she was, therefore brought to our hospital Emergency Room.
She had neck ultrasound and subsequently urgent Computed
Tomography (CT) scan which
showed huge anterior neck collection with enhanced wall
and air loculi seen within, extending up to superior vena
cava. Later she had bloody aspirate in endotracheal tube,
so CT scan of the chest was done which showed that there
is aneurysms involving the right pulmonary artery with
necrotizing pneumonia involving the right upper lobe and
blood culture was positive for Streptococcus viridans and the
pus culture was positive for Streptococcus milleri.
Discussion and conclusion:
Pulmonary Artery Aneurysms
(PAAs) are very rare findings in the pediatric population. The
impressive size of the distal aneurysms and the occurrence
in a
pediatric patient are unique features of this case. Most
mycotic aneurysms are secondary to
endovascular seeding. Successful management of mycotic
aneurysm of PA in pediatric patients consists of high clinical
suspicion, prompt diagnosis, and initiation of the broad-
spectrum antimicrobial therapy which covers all possible
causative agents, surgical intervention and coil embolization
by interventional radiologist
Speaker Biography
Basheer Ahmed has completed his under graduation in 1994 from Al-
Ameen Medical college, Bijapur. Then did his pediatric residency from
Sri Ramachandra Medical College and Research Centre, India (Affiliated
with Harward University-USA). Following which he did membership from
Royal college of Pediatrics and Child Health (UK). Then he did fellowship in
Pediatric Hematology and Oncology by Saudi Council for Health Specialties
from King Faisal Specialist Hospital and Research Centre, Riyadh.
Subsequently he also did fellowship in Pediatric Hematology/ Oncology
and BMT from Great Ormond Street Hospital for Children, London (UK).
He is currently working as Consultant Pediatric Hematologist / Oncologist
at King Fahad Armed Forces Hospital Southern Region, Khamis Mushayt-
SaudiArabia.Hehaspublications inwell-known journals likeHaema,Blood,
Pediatric Blood & cancer. He has presented in International conferences.
e:
drbasheerci@gmail.com