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Case Reports in Pediatrics
Volume 2016, Article ID 8097105, 4 pages
http://dx.doi.org/10.1155/2016/8097105
Case Report

Hydropneumothorax in Children: A Rare Complication of a Bacterial Pneumonia

1Emergency Department, Hospital Nacional de Niños “Dr. Carlos Sáenz Herrera”, 1654-1000 San José, Costa Rica
2Respiratory Department, Hospital Nacional de Niños “Dr. Carlos Sáenz Herrera”, 1654-1000 San José, Costa Rica

Received 13 January 2016; Accepted 20 April 2016

Academic Editor: Daniel K. L. Cheuk

Copyright © 2016 Carolina Ortega 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

Hydropneumothorax is an uncommon presentation of a complicated pneumonia, and very few cases in the pediatric population have been reported. This is a case of a 5-month-old patient who presented to the emergency department (ED) with a three-day history of fever, diarrhea, and respiratory distress. His initial assessment suggested a lower respiratory tract infection and because of his respiratory distress and hypoxia a chest X-ray was performed. Other clinical information and radiologic studies will be discussed further, but his chest X-ray suggested a right-sided hydropneumothorax secondary to a complicated pneumonia. He completed 12 days of IV antibiotic treatment and required a chest tube for drainage. Patient was discharged home with a full recovery.