A palpable chest wall mass in a 4-year-old boy

2021 ◽  
pp. e20200053
Author(s):  
Jakob M Domm ◽  
Joanne M Langley
Keyword(s):  
Chest Pain ◽  
Tract Infection ◽  
Respiratory Tract ◽  
Chest Wall ◽  
Respiratory Infection ◽  
Lower Respiratory Tract ◽  
Atypical Presentation ◽  
History Of ◽  
Wall Mass ◽  
Chest Wall Mass

Empyema necessitans (EN) is a rare but dangerous complication of a lower respiratory tract infection. The diagnosis can be difficult to make and therefore delayed. We describe a case of a child with an atypical presentation of EN. He was afebrile and without chest pain and presented with a palpable chest wall mass after a history of recent respiratory infection. The threshold of suspicion for EN should be low, and it must be suspected in all children with a chest wall mass and recent history of respiratory infection.

Chest wall mass: what lies beneath?

2018 ◽  
Vol 35 (10) ◽  
pp. 586-586
Author(s):  
Claire Elaine Richards ◽  
Ahmed Mamdouh Taha Mostafa ◽  
Amr Elmoheen
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Medical History ◽  
Chest Wall ◽  
Vital Signs ◽  
Cervical Lymphadenopathy ◽  
Anterior Chest Wall ◽  
List Type ◽  
History Of ◽  
Wall Mass ◽  
Chest Wall Mass

Clinical introductionA 24-year-old Filipino man attended the ED with a 1-month history of a discrete swelling over his upper anterior chest wall that was rapidly increasing in size and tenderness. He denied any other symptoms. His medical history was unremarkable.Examination revealed a tender, 7 cm × 6 cm mass over the upper part of the sternum (figure 1). The surface was smooth, it was immobile, non-compressible and the overlying skin was normothermic but mildly erythematous. Cervical lymphadenopathy was present. His vital signs were normal.Figure 1Chest wall mass.QuestionWhat is the most likely diagnosis?LipomaChondrosarcomaLymphomaMycobacterium tuberculosis (TB)

scholarly journals An unusual cause of ‘musculoskeletal’ chest pain

2009 ◽  
Vol 8 (3) ◽  
pp. 111-113
Author(s):  
Nigel Lane ◽  
◽  
Adrian Mackie ◽  
Seema Srivastava ◽  
◽  
...  
Keyword(s):  
Chest Pain ◽  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Lower Respiratory Tract ◽  
Joint Infection ◽  
Sternoclavicular Joint ◽  
Medical Unit ◽  
Acute Medical Unit ◽  
Unusual Condition

Chest pain is a frequent cause of admission to an acute medical unit. In most cases the cause is initially considered to be either cardiac or respiratory, with musculoskeletal causes being considered a benign diagnosis of exclusion. We report a case of sternoclavicular joint infection, treated initially as a lower respiratory tract infection. The investigation and treatment of this unusual condition are discussed.

scholarly journals Prevalence of pulmonary tuberculosis in patients with diabetes mellitus and lower respiratory tract infection

2020 ◽  
Vol 8 (2) ◽  
pp. 597
Author(s):  
Pradnya S. Kale ◽  
Swapna R. Kanade ◽  
Gita Nataraj ◽  
Preeti R. Mehta
Keyword(s):  
Diabetes Mellitus ◽  
Tract Infection ◽  
Pulmonary Tuberculosis ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Lower Respiratory Tract ◽  
Tb Control ◽  
History Of ◽  
Diabetic Treatment ◽  
Xpert Assay

Background: Pulmonary Tuberculosis (PTB) still remains a global public health problem. Diabetes Mellitus (DM), is a metabolic disorder characterized by hyperglycaemia. Diabetes along with poor glycaemic control leads to an immune compromised state. As prevalence of both TB and DM is increasing in India, this association of PTB and DM may prove a threat to TB control program. Aims and objectives of the study was to detect prevalence of pulmonary tuberculosis in patients with DM and Lower Respiratory Tract Infection (LRTI).Methods: Sputum specimen from consecutive 250 known diabetic adult patients with type 2 diabetes and clinical evidence of LRTI were processed for microscopy, solid culture and Xpert MTB/RIF assay. Clinical findings, duration of DM, regularity of treatment and recent fasting blood glucose level were noted.Results: TB was detected in 31(12.8%) patients. Microscopy, culture and Xpert assay were positive in 14(5.6%), 29(11.6%) and 24(9.5%) cases respectively. Culture detected seven cases more than Xpert assay. Two additional cases were detected by Xpert assay than culture. Rifampicin resistance was detected in seven (29.17%) cases by Xpert assay. TB detection rate was higher in patients with more than two weeks of cough (14.38%), history of tuberculosis (15.9%), hyperglycemia (13.9%) and significantly higher in those with irregular anti-diabetic treatment (35.7%).Conclusions: Irregular anti-diabetic treatment, hyperglycaemia and history of tuberculosis were strongly associated with pulmonary TB. Xpert assay should be used as the initial diagnostic test for detection of tuberculosis as well as rifampicin resistance in diabetic patients by TB control programme.

scholarly journals Indoor Air Pollution as a Risk Factor of Acute Lower Respiratory Tract Infection in Children

2017 ◽  
Vol 13 (1) ◽  
pp. 5-7 ◽  
Author(s):  
Niraj Acharya ◽  
Pradip Mishra ◽  
Veena Gupta
Keyword(s):  
Air Pollution ◽  
Family History ◽  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Indoor Air ◽  
Lower Respiratory Tract ◽  
Indoor Air Pollution ◽  
Domestic Animal ◽  
History Of

Introduction: This study was conducted to find out if indoor air pollution has any risk in occurrence of acute lower respiratory tract infection (ALRI) in children.Materials and methods: It was a case control study conducted on total 214 children 107 cases and 107 controls fulfilling the inclusion criteria with age and sex matched. Detailed history and physical examination was done after taking informed consent. History of upper respiratory tract infection in the family members and siblings, history of smoking by various family members, details of cooking fuel and indoor pollution was also recorded.Results: Those families using wood as a cooking material were associated with higher risk of ALRI (p=0.0001). Exposure to domestic animal was significantly positively associated (p=0.0001) and seven times higher risk to develop ALRI as compared to control group. Those children of case group who did not have separate kitchen were having nine times higher risk of ALRI (p=0.001). Family history of smoking was associated with six times increased risk of ALRI (p=0.001). With the use of kerosene lamps risk of ALRI was increased by 1.44 times (p=0.012).Conclusions: The significant environmental risk factors for ALRI were wood as cooking material, presence of domestic animal, place for cooking, family history of smoking, absence of windows and kerosene lamp as a source of light.Journal of Nepalgunj Medical College Vol.13(1) 2015: 5-7  

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