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Pertusse u kojence s nepoznanou cystickou fibrózou
Title in English | Pertussis in a 4-month-old infant with unrecognized cystic fibrosis |
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Authors | |
Year of publication | 2012 |
Type | Article in Periodical |
Magazine / Source | Klinická mikrobiologie a infekční lékařství |
MU Faculty or unit | |
Citation | |
Web | http://kmil.trios.cz/ |
Field | Paediatry |
Keywords | cystic fibrosis pertussis pneumothorax |
Description | We present a case report a of small boy with cystic fibrosis complicated by pertussis and pneumothorax. The child had not been vac - cinated against Bordetella pertussis due to the failure to thrive and was infected with the bacterium at the age of 4 months. The course of the disease was severe, with respiratory distress and spontaneous pneumothorax. The diagnosis of pertussis was serologically confirmed. A suspicion for cystic fibrosis increased after an unusually prolonged course of the disease and a history of the failure to thrive. A comprehensive diagnostic procedure revealed Pseudomonas aeruginosa respiratory infection, anemia, pancreatic insufficiency, a positive sweat test and the presence of two CFTR gene mutations. The patient, treated with comprehensive cystic fibrosis therapy, recovered from acute respiratory illness and started to thrive soon. |