ktd Kocatepe Tıp Dergisi 3061-9904 Afyonkarahisar Sağlık Bilimleri Üniversitesi Clinical Sciences Klinik Tıp Bilimleri A Child Who Presenting With a Round Pneumonia A Child Who Presenting With a Round Pneumonia Yarar Coskun Kocak Abdulkadir Evım Melike 04 01 2006 7 1 71 73 05 08 2015 Copyright © 1999, Kocatepe Tıp Dergisi 1999 Kocatepe Tıp Dergisi

Round pneumonia (RP) is characterized with spherical consolidation on chest radiograph and usually confused with pulmonary mass. RP is usually seen in children, and usually results from bacteria. The diagnosis of RP based on chest radiograph and clinical findings, further investigation is unnecessary and it is treated with appropriate antibiotics and supportive therapy. We present a 15- month old girl who was admitted with cough and fever and spherical mass appearence on chest radiograph, diagnosed as round pneumonia and treated with cefuroxim axetil without further evaluation. On the seventh day her both clinical and radiological findings recovered completely.

 round pneumonia spherical pneumonia chest radiograph Talner LB. Pleuropulmonary pseudotumors in childhood. Am J Roentgenol, 1967; 100: 208-213. Rose RW, Ward BH. Spherical pneumonias in children simulating pulmonary and mediastinal masses. Radiology, 1973; 106: 179-182. Katsumura Y, Shirakami K, Satoh S. Pneumococcal spherical pneumonia multiply distributed in one lung. Eur Respir J, 1997; 10: 2423-2424. Hershey CO, Panaro V. Round pneumonia in adults. Arch Intern Med, 1988; 148: 1155-1157. Greenfield H, Gyepes MT. Oval-shaped consolidations simulating new growth of the lung. Am J Roentgenol, 1964; 91: 125-131. Soubani AO, Epstein SK. Life-threatening “round pneumonia”. Am J Emerg Med, 1996; 14: 189-191. Wan YL, Kuo HP, Tsai YH et al. Eight cases of seve- re acute respiratory syndrome presenting as round pneumonia. AJR, 2004; 182: 1567-1570. Cundell DR, Tuomanen EI. Receptor specificity of adherence of Streptococcus pneumoniae to human type-II pneumocytes and vascular endothelial cells in vitro. Microb Pathog, 1994; 17: 361-374. Tuomanen EI, Austrian R, Masure R. Pathogenesis of pneumococcal infection. N Engl J Med, 1995; 332: 1280-1284. Fraser RG, Wortzman G. Acute pneumococcal lobar pneumonia: the significance of non-segmental distribution. J Can Assoc Radiol, 1959; 10: 37-46. Bradley JS. Management of Community-Acquired Pediatric Pneumonia in an Era of Increasing Antibiotic Resistance and Conjugate Vaccines. Pedi- atr Infect Dis J, 2002; 21: 592-598.