case_images: PMC11128555_01
case_images: (A) Chest X-ray showing a significantly decreased transmittance in the left lung; (B) peritoneal thickening of the left paracolic sulcus; (C) chest CT showing a new exudative lesion in the post-basal segment of the left inferior pulmonary lobe; and (D) chest X-ray showing that the transmittance of the lung was improved.
case_images: fped-12-1233600-g001.jpg
case_images: PMC11128555_01_fped-12-1233600-g001.jpg
case_images: F1
case_images: The chest X-ray and abdomen computed tomography showed ground glass opacification in the post-basal segment of the left inferior pulmonary lobe and peritoneal thickening of the left paracolic sulcus (Figures 1A,B). However, a repeat chest CT revealed a new exudative lesion in the post-basal segment of the left inferior pulmonary lobe (Figure 1C). On day 57, her neutrophils reverted to normal levels, and her pulmonary lesions in the chest X-ray showed no advancement (Figure 1D).
case_images: Clinical course of the patient. (1) On day 28, the patient had a fever, diarrhea, and vomiting. The antibiotic therapy was switched to linezolid (10 mg/kg q8 h) combined with meropenem (40 mg/kg q8 h). (2) On day 29, the patient suffered from septic shock. The antibiotics were adjusted to linezolid (10 mg/kg q8 h), amikacin (15 mg/kg qd), and tigecycline (1.2 mg/kg q12 h). (3) On day 35, with the child having an obstinate fever, persistent abnormal inflammatory cytokines, and drug susceptibility results, the antibiotics were adjusted to polymyxin B (1.5 million units/kg q12 h), levofloxacin (8 mg/kg q12 h) and linezolid (10 mg/kg q8 h).
case_images: fped-12-1233600-g002.jpg
case_images: PMC11128555_01_fped-12-1233600-g002.jpg
case_images: F2
case_images: Figure 2 depicts a chronology of the temperature and the C-reaction protein.