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The x-ray shows an infiltrate and, likely, a pleural effusion. In addition, note the deviation of the trachea.
This child was sent to the hospital, where he had a pleural tap which returned pus. He was put on IV antibiotics.
It is very likely that this was an aggressive pneumococcal pneumonia that literally developed within the short time after the visit to the primary care doctor.
Had the urgent care physician not identified the infection, there is a good chance the case could have deteriorated to relatively quickly.
Case presented by Nahum Kovalski, BSc, MDCM; the patient was treated by Dr. Eliyahu Sheleg.
[taq_review]
7-year-old boy with persistent fever and cough
Nahum Kovalski, BSc, MDCM
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