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Streptococcal pneumonia in children

 
, medical expert
Last reviewed: 23.04.2024
 
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Pneumonia caused by beta-hemolytic streptococcus occurs as bronchopneumonia or interstitial pneumonia as a complication of ARVI or other infectious diseases. Children are more often ill at the age of 2-7 years.

In the morphological picture, small foci with areas of necrosis are noted. In the subsequent sites of inflammation increase, merge with each other and capture whole lobes of the lung.

Often the pleura is involved in the process, pleurisy and empyema develop.

trusted-source[1], [2], [3]

Symptoms of Streptococcal Pneumonia

Streptococcal pneumonia begins violently, with severe intoxication, fever, chills. Body temperature rises to 39-40 ° C, there are pains in the chest, cough with phlegm. The physical data for streptococcal pneumonia are often scarce, percussion changes are uncharacteristic, rales are heard non-permanently. When pleurisy occurs, there are changes in percussion sound and weakened breathing on the side of the lesion.

Radiographic pattern includes pronounced interstitial changes with multiple rounded foci in different dissolution phases. Sometimes you can see a massive infiltration. For streptococcal pneumonia, the enlarged lymph nodes of the lung root are typical. In the blood - neutrophilic leukocytosis with a shift to the left, an increase in ESR.

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Diagnosis of streptococcal pneumonia

Streptococcal pneumonia is diagnosed on the basis of cumulative clinical and radiological and laboratory data.

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Treatment of streptococcal pneumonia

For the treatment of streptococcal pneumonia, penicillin or its semisynthetic derivatives are used from the calculation of 100-200 mg / kg per day intramuscularly in 2 doses concurrently with probiotics (acipol, etc.). You can use other antibiotics (protected penicillins, cephalosporins). With empyema, thoracocentesis is performed.

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