CXR Quiz

Case 48

Case 47

Case 46: An 8-year old boy presented with recurrent pneumonia for 3 times since he was 6 years old

Case 45: A term infant developed dyspnea since birth.

Case 44: case 4-year old boy present with fever with cough for 4 days. PE: T 38.5 °C, RR 35 /min, fine crepitation at left lower lung.

CXR Quiz


Update: 2018-01-11
Views/Visit: 813

Case 48:A 14-year old boy presented with high grade fever and progressive dyspnea for 3 days

A 14-year old boy presented with high grade fever and progressive dyspnea for 3 days. He had history of ankle pain during stepping downstairs without any wound or trauma 2 weeks ago. He refused history of contact TB. PE: T 39.5 °C, RR 50 /min, BP 100/60 mmHg, PR 130 /min, SpO2 92% while on O2 mask with bag 10 LPM, he was unable to talk in sentence, good consciousness, fine crepitation both lungs, mild left ankle swelling without wound.

1.What is the most likely pathogen and How does it spread to the lungs?

2.What is the proper antimicrobial ?


Ans1: Staphylococcus aureus, Hematogenous spreading

Ans2: Cloxacillin IV + Clindamycin IV







สมาคมโรคระบบหายใจและเวชบำบัดวิกฤตในเด็กแห่งประเทศไทย

สำนักงาน : ภาควิชากุมารเวชศาสตร์ คณะแพทย์ศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย
1873 ถนนพระราม 4 แขวงปทุมวัน เขตปทุมวัน กรุงเทพฯ 10330
โทร. 02-256-4951 โทรสาร. 02-256-4911

E-mail: info.thaipedlung@gmail.com | tasneeya@gmail.com | apassornw@yahoo.com