A case of lung abscess in a child with no symptoms other than chest pain *
This case involved an 11-year-old-boy who came to our emergency clinic because of chest pain with respiration. He experienced no cough, rhinorrhea or pyrexia. He was admitted to our Kawasaki Medical School Hospital because of nodular lesions on his chest roentgenogram, which were revealed to contain niveau by computed tomography. One of the lesions was aspirated by a needle under echography, but no bacteria including anaerobic bacteria were detected. After admission, CRP increased from 0.8 to 3.2 mg/dl, but it became negative within four days after intravenous administration of PAPM/BP. The immunologic abnormality in lymphocytes and granulocytes was not detected. Lung abscesses are rarely seen in childhood, but most of them have appeared with underlying diseases. This case involved an otherwise healthy child without any symptoms except for chest pain, such a case has not been found in the literature. (Accepted on August 18, 2001) Kawasaki Igakkaishi 27(3) 231 -235, 2001
