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CLINICAL IMAGES
Year : 2015  |  Volume : 142  |  Issue : 4  |  Page : 495-496

Round pneumonia


1 Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Armed Forces General Hospital No.2, Zhongzheng 1st Rd., Lingya District, Kaohsiung City 80284, Taiwan
2 Division of Infectious Diseases & Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325, Sec. 2, Chenggong Rd., Neihu District, Taipei City 114, Taiwan

Date of Web Publication10-Nov-2015

Correspondence Address:
Jung-Chung Lin
Division of Infectious Diseases & Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325, Sec. 2, Chenggong Rd., Neihu District, Taipei City 114
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-5916.169228

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How to cite this article:
Su KJ, Lin JC. Round pneumonia. Indian J Med Res 2015;142:495-6

How to cite this URL:
Su KJ, Lin JC. Round pneumonia. Indian J Med Res [serial online] 2015 [cited 2019 Oct 23];142:495-6. Available from: http://www.ijmr.org.in/text.asp?2015/142/4/495/169228

A 25 year old non-smoker male presented to the outpatient department of the Infectious Diseases Division, Kaohsiung Armed Forces General Hospital, Taiwan, in February 2014, owing to right anterior chest wall pain for three days. A posterior-anterior chest radiograph showed an opacification over right upper lobe [Figure 1]. Non-enhanced computed tomography demonstrated a 25mm nodule in the right upper lobe [Figure 2]. There was no lymphadenopathy. The patient was diagnosed to have round pneumonia and was treated with amoxicillin-clavulanate for seven days. Chest radiograph obtained five days later revealed a consolidation in the right upper lobe [Figure 3]. The sputum culture yielded Streptococcus pneumoniae. The blood culture was unremarkable. Repeat chest radiograph after 14 days showed regression of air-space opacification over right upper lobe [Figure 4]. Round pneumonia is usually seen in the children and is uncommon in adult.
Figure 1. Posterior-anterior chest radiograph showing opacification over right upper lobe (arrow)

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Figure 2. Non-enhanced computed tomography demonstrated a 25mm nodule in the right upper lobe (arrow)

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Figure 3. Chest radiograph obtained 5 days later revealed a consolidation in the right upper lobe (arrow)

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Figure 4. Repeat chest radiograph after 14 days showed regression of air-space opacification over right upper lobe (arrow)

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   Acknowledgment Top


Authors thank Dr En-Han Huang, Department of Radiology, Kaohsiung Armed Forces General Hospital, Taiwan, for providing images.


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]


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