Commonly misdiagnosed round pneumonia in a child: a case report

Abstract

Commonly misdiagnosed round pneumonia in a child: a case report Khai Quang Tran1 , Nghia Quang Bui1 , Tho Kieu Anh Pham2 , Tri Duc Nguyen3 , Quan Minh Pham1 , Nhu Thi Huynh Tran1 , Ly Cong Tran1 , Nam Hoang Do1 , Phuong Minh Nguyen1 Medical Journal of Indonesia Case Report/Series ABSTRACT Round pneumonia, a specific radiological finding in children, is often caused by Streptococcus pneumoniae; but it is easily misdiagnosed with some other diseases, causing many difficulties for clinicians. We described a case report of round pneumonia in a 9-year-old boy, with chest pain, following fever, productive cough, left-sided pulmonary consolidation syndrome, tachypnea, no chest indrawing, and a round homogenous lesion about 4 cm in diameter with a clear border in the left upper lobe position on chest X-ray. He was initially misdiagnosed as a lung tumor. He was correctly diagnosed with round pneumonia prior to pneumonectomy and was successfully treated with antibiotics. Therefore, it is important to carefully analyze round pneumonia cases that are often misdiagnosed, resulting in poor therapy. KEYWORDS pneumonia, Streptococcus, vancomycin