Hazar Khankan*

Pulmonology Division, Department of Pediatrics, Children's Damascus University Hospital, Syria

*Corresponding Author: Hazar Khankan, Pulmonology Division, Department of Pediatrics, Children's Damascus University Hospital, Syria.

Received: October 16, 2019; Published: October 29, 2019

Citation: Hazar Khankan. “Acute Chest Syndrome in A 10-Year-Old Male with Sickle Cell Disease ”. Acta Scientific Paediatrics 2.11 (2019):65.

Case Presentation

A 10-year-old male with known sickle cell disease was admitted to Children's Damascus University Hospital with a history of tightness, shortness of breath, severe chest pain, and back pain for 2 days.

On physical examination, he had crackles with slightly diminished breath sounds on the base of both sides of the chest. Oxygen saturation was 94% on room air. The patient was hemodynamically stable.

Investigations revealed hemoglobin of 8.4 mg/dl and total leucocyte count of 16,000/mm3 (Polymorphs 78%, lymphocytes 16%). CXR showed lateral opacity in the right mid- and lower- lung field and lateral opacity in the left mid-lung field (Figure 1). Chest computed tomography images showed bilateral consolidations predominating at lung bases (Figure 2,3).

Figure 1

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Figure 2

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Figure 3

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A diagnosis of acute chest syndrome (ACS) was made and the management included analgesics, intravenous fluids, oxygen, wide spectrum antibiotics and red blood cell transfusion.

Copyright: © 2019 Hazar Khankan. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.