Spontaneous thrombosis of non-tuberculous pulmonary artery mycotic pseudoaneurysm in prolonged childhood pneumonia
Pulmonary tuberculosis (PTB) is common in tropical country like Malaysia. Prolonged PTB infection may lead to mycotic pulmonary artery pseudoaneurysm (PAP). We report a case of childhood non-tuberculous pulmonary infection causing mycotic PAP which resolved spontaneously after antibiotics therapy....
| Main Authors: | , , , , , , |
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| Format: | Article |
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Longe Medikal
2021
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| Online Access: | http://psasir.upm.edu.my/id/eprint/95137/ |
| _version_ | 1848862080302579712 |
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| author | Ibrahim, Idris Mohd Yaakob, Mohd Naim Zakaria, Mohd Hazeman Tharek, Anas Rahmat, Nurul Syazwani Mohd Sabri, Mohd Naqib Kamis, Mohd Fandi Al-Khafiz |
| author_facet | Ibrahim, Idris Mohd Yaakob, Mohd Naim Zakaria, Mohd Hazeman Tharek, Anas Rahmat, Nurul Syazwani Mohd Sabri, Mohd Naqib Kamis, Mohd Fandi Al-Khafiz |
| author_sort | Ibrahim, Idris |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Pulmonary tuberculosis (PTB) is common in tropical country like Malaysia. Prolonged PTB infection may lead to mycotic pulmonary artery pseudoaneurysm (PAP). We report a case of childhood non-tuberculous pulmonary infection causing mycotic PAP which resolved spontaneously after antibiotics therapy. A 1 year 6 months old girl underlying Down syndrome presented with prolonged fever for two weeks , cough and breathlessness. Her leucocytes count were elevated and she developed several hypotensive episodes secondary to septicaemia. Chest radiograph showed loculated right sided pleural effusion. Ultrasound revealed complex pleural collection and initial aspiration revealed a thick stale blood. Thinking of possible vascular cause, ultrasound able to locate a well-defined rounded structure with high flow velocity seen on Doppler ultrasound consistent with pseudoaneurysm and CT thorax confirmed the findings. Pulmonary artery angiogram prior to embolization revealed no evidence of abnormal vasculature or contrast blush at the region of interest. Complimentary ultrasound showed evidence of spontaneous thrombosis within the pseudoaneurysm. Non-tuberculous PAP is a rare but possible life-threatening sequela of pneumonia. Pleural drainage in a haemothorax with concomitant mycotic thoracic pseudoaneurysm may cause loss of pressure tamponade and will end up with devastating consequences. Careful ultrasound image acquisition must be made by the attending radiologist prior to pleural drainage. |
| first_indexed | 2025-11-15T13:11:20Z |
| format | Article |
| id | upm-95137 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-15T13:11:20Z |
| publishDate | 2021 |
| publisher | Longe Medikal |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-951372023-02-03T08:19:44Z http://psasir.upm.edu.my/id/eprint/95137/ Spontaneous thrombosis of non-tuberculous pulmonary artery mycotic pseudoaneurysm in prolonged childhood pneumonia Ibrahim, Idris Mohd Yaakob, Mohd Naim Zakaria, Mohd Hazeman Tharek, Anas Rahmat, Nurul Syazwani Mohd Sabri, Mohd Naqib Kamis, Mohd Fandi Al-Khafiz Pulmonary tuberculosis (PTB) is common in tropical country like Malaysia. Prolonged PTB infection may lead to mycotic pulmonary artery pseudoaneurysm (PAP). We report a case of childhood non-tuberculous pulmonary infection causing mycotic PAP which resolved spontaneously after antibiotics therapy. A 1 year 6 months old girl underlying Down syndrome presented with prolonged fever for two weeks , cough and breathlessness. Her leucocytes count were elevated and she developed several hypotensive episodes secondary to septicaemia. Chest radiograph showed loculated right sided pleural effusion. Ultrasound revealed complex pleural collection and initial aspiration revealed a thick stale blood. Thinking of possible vascular cause, ultrasound able to locate a well-defined rounded structure with high flow velocity seen on Doppler ultrasound consistent with pseudoaneurysm and CT thorax confirmed the findings. Pulmonary artery angiogram prior to embolization revealed no evidence of abnormal vasculature or contrast blush at the region of interest. Complimentary ultrasound showed evidence of spontaneous thrombosis within the pseudoaneurysm. Non-tuberculous PAP is a rare but possible life-threatening sequela of pneumonia. Pleural drainage in a haemothorax with concomitant mycotic thoracic pseudoaneurysm may cause loss of pressure tamponade and will end up with devastating consequences. Careful ultrasound image acquisition must be made by the attending radiologist prior to pleural drainage. Longe Medikal 2021-06-30 Article PeerReviewed Ibrahim, Idris and Mohd Yaakob, Mohd Naim and Zakaria, Mohd Hazeman and Tharek, Anas and Rahmat, Nurul Syazwani and Mohd Sabri, Mohd Naqib and Kamis, Mohd Fandi Al-Khafiz (2021) Spontaneous thrombosis of non-tuberculous pulmonary artery mycotic pseudoaneurysm in prolonged childhood pneumonia. The Interventionalist Journal, 1 (1). pp. 12-16. ISSN 2785-8944; ESSN: 2785-8944 https://theinterventionalists.com/index.php/journal/article/view/5 10.32896/tij.v1n1.12-16 |
| spellingShingle | Ibrahim, Idris Mohd Yaakob, Mohd Naim Zakaria, Mohd Hazeman Tharek, Anas Rahmat, Nurul Syazwani Mohd Sabri, Mohd Naqib Kamis, Mohd Fandi Al-Khafiz Spontaneous thrombosis of non-tuberculous pulmonary artery mycotic pseudoaneurysm in prolonged childhood pneumonia |
| title | Spontaneous thrombosis of non-tuberculous pulmonary artery mycotic pseudoaneurysm in prolonged childhood pneumonia |
| title_full | Spontaneous thrombosis of non-tuberculous pulmonary artery mycotic pseudoaneurysm in prolonged childhood pneumonia |
| title_fullStr | Spontaneous thrombosis of non-tuberculous pulmonary artery mycotic pseudoaneurysm in prolonged childhood pneumonia |
| title_full_unstemmed | Spontaneous thrombosis of non-tuberculous pulmonary artery mycotic pseudoaneurysm in prolonged childhood pneumonia |
| title_short | Spontaneous thrombosis of non-tuberculous pulmonary artery mycotic pseudoaneurysm in prolonged childhood pneumonia |
| title_sort | spontaneous thrombosis of non-tuberculous pulmonary artery mycotic pseudoaneurysm in prolonged childhood pneumonia |
| url | http://psasir.upm.edu.my/id/eprint/95137/ http://psasir.upm.edu.my/id/eprint/95137/ http://psasir.upm.edu.my/id/eprint/95137/ |