Patent ductus arteriosus with pulmonary endarteritis leading to pulmonary infarction in a 9-year-old boy: a case report.

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL Oxford Medical Case Reports Pub Date : 2024-11-20 eCollection Date: 2024-11-01 DOI:10.1093/omcr/omae132

Amshu Shakya, Urmila Shakya, Subash Chandra Shah, Vidhata Bhandari Kc, Devaki Khadka, Urusha Ghulu

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Abstract

Background: Pulmonary endarteritis secondary to Patent ductus arteriosus (PDA) can present even in silent PDAs. Pulmonary endarteritis is treated with prolonged duration of antibiotics followed by PDA closure. It can also cause septic pulmonary emboli requiring critical care if multi-organ dysfunction ensues.

Case presentation: A 9-year-old boy had high grade fever for one week and few nonspecific complaints. Echocardiogram showed PDA with infective endarteritis. Child was admitted with IV antibiotics. CECT chest done for resurgence of fever and need for increased oxygen demand showed multiple septic pulmonary emboli with pulmonary infarction. Surgical closure of PDA prevented further clinical deterioration.

Conclusion: This case highlights the poor medical scenario of rural communities of Nepal. Such life- threatening complication can be prevented by timely recognition of the condition which is only possible by implementation of standard, accessible and affordable health care system across the country.

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一名 9 岁男孩的动脉导管未闭合并肺动脉内膜炎导致肺梗塞：病例报告。

背景：继发于动脉导管未闭（PDA）的肺动脉内膜炎即使在无声的 PDA 中也会出现。治疗肺动脉内膜炎的方法是使用长效抗生素，然后关闭 PDA。如果出现多器官功能障碍，还可能导致脓毒性肺栓塞，需要重症监护：病例介绍：一名 9 岁男孩持续高烧一周，并伴有一些非特异性症状。超声心动图显示 PDA 伴有感染性动脉内膜炎。患儿入院后静脉注射抗生素。因再次发烧和需氧量增加而进行的胸部CECT显示，患儿有多处脓毒性肺栓塞和肺梗塞。手术关闭了 PDA，防止了临床病情的进一步恶化：本病例凸显了尼泊尔农村社区医疗条件的落后。只有在全国范围内实施标准、便捷、可负担的医疗保健系统，才能及时发现病情，避免此类危及生命的并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-

CiteScore

0.90

自引率

0.00%

发文量

125

审稿时长

19 weeks

期刊介绍： Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.