"Massive hemoptysis" and shock after fever and cough

A boy, aged 11 years, was admitted due to intermittent fever for 15 days, cough for 10 days, and "hemoptysis" for 7 days. The boy had fever and cough with left neck pain 15 days ago, and antibiotic treatment was effective. During the course of disease, the boy developed massive "hemop...

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Bibliographic Details
Published in:Zhongguo dang dai er ke za zhi 2022-06, Vol.24 (6), p.705
Main Authors: Deng, Liang-Ji, Xiong, Jie, Zhong, Li-Li, Lin, Xiao-Juan, Xiao, Xu-Ping, Mao, Zhi-Qun
Format: Article
Language:Chinese
Subjects:
Abscess - diagnosis
Abscess - etiology
Abscess - surgery
Cough
Fever - complications
Fistula - complications
Fistula - diagnosis
Fistula - surgery
Hemoptysis - complications
Humans
Male
Neck
Shock
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Summary:A boy, aged 11 years, was admitted due to intermittent fever for 15 days, cough for 10 days, and "hemoptysis" for 7 days. The boy had fever and cough with left neck pain 15 days ago, and antibiotic treatment was effective. During the course of disease, the boy developed massive "hemoptysis" which caused shock. Fiberoptic bronchoscopy revealed a left pyriform sinus fistula with continuous bleeding. In combination with neck and vascular imaging examination results, the boy was diagnosed with internal jugular vein injury and thrombosis due to congenital pyriform sinus fistula infection and neck abscess. The boy was improved after treatment with temperature-controlled radiofrequency ablation for the closure of pyriform sinus fistula, and no recurrence was observed during the follow-up for one year and six months. No reports of massive hemorrhage and shock due to pyriform sinus fistula infection were found in the searched literature, and this article summarizes the clinical features, diagnosis, and treatment of th
ISSN:1008-8830
DOI:10.7499/j.issn.1008-8830.2202002