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Case Reports in Pediatrics
Volume 2015, Article ID 186302, 3 pages
http://dx.doi.org/10.1155/2015/186302
Case Report

Systemic Steroid Treatment for Severe Expanding Pneumococcal Pneumonia

1Department of Pediatrics Mount Scopus, Hadassah-Hebrew University Medical Center, P.O. Box 24035, 91240 Jerusalem, Israel
2Department of Medical Imaging, Hadassah-Hebrew University Medical Center, Mount Scopus, P.O. Box 24035, 91240 Jerusalem, Israel

Received 8 January 2015; Accepted 23 February 2015

Academic Editor: Jonathan Muraskas

Copyright © 2015 Eran Lavi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The treatment of bacterial community-acquired pneumonia (CAP) is based on appropriate antibiotic therapy and supportive care such as intravenous fluids and supplemental oxygen. There is no available data regarding the use of steroids in CAP in children. We present an unusual case of a child with severe respiratory distress, on the brink of mechanical ventilation, due to a rapidly expanding pneumococcal pneumonia. The administration of systemic steroids resulted in a dramatic response with rapid improvement of clinical and radiological abnormalities followed by improvement of laboratory abnormalities. This case report should raise the awareness of the potential benefits of steroids in the treatment of severe pneumonia in children. Prospective randomized trials are needed to confirm the efficacy of steroids in this setting and to determine which patients would benefit most from this.