Occult Pneumonia: An Unusual but Perilous Entity Presenting with Severe Malnutrition and Dehydrating Diarrhoea

Authors

  • Mohammod J Chisti Clinical Sciences Division and Executive Director?s Division, ICDDR,B, Mohakhali, Dhaka 1212, Bangladesh
  • Mohammed A Salam Clinical Sciences Division, ICDDR,B, Mohakhali, Dhaka 1212, Bangladesh
  • M Sharifuzzaman Executive Director?s Division, ICDDR,B, Mohakhali, Dhaka 1212, Bangladesh
  • Mark AC Pietroni Executive Director?s Division, ICDDR,B, Mohakhali, Dhaka 1212, Bangladesh

DOI:

https://doi.org/10.3329/jhpn.v27i6.4333

Keywords:

Diarrhoea, Infantile, Dehydration, Infant nutrition disorders, Pneumonia, Bangladesh

Abstract

A three-month old boy was admitted to the Dhaka Hospital of the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), Dhaka, Bangladesh, with the problems of acute watery diarrhoea with some dehydration and suspected dyseletrolytaemia, severe malnutrition, and reduced activity. Occult pneumonia was added to the problem list after demonstration of radiologic consolidation in right upper lung, despite the lack of clinical signs, both on admission and after correction of dehydration. The problem list was further expanded to include bacteraemia due to Staphylococcus aureus when the blood culture report was available. Severely-malnourished children may not exhibit typical clinical signs of pneumonia, and the possibility of existence of such problems should be remembered in the assessment and provision of care to hospitalized young children with severe malnutrition.

Key words: Diarrhoea, Infantile; Dehydration; Infant nutrition disorders; Pneumonia; Bangladesh

DOI: 10.3329/jhpn.v27i6.4333

J Health Popul Nutr 2009 Dec; 27(6): 808-812

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How to Cite

Chisti, M. J., Salam, M. A., Sharifuzzaman, M., & Pietroni, M. A. (2010). Occult Pneumonia: An Unusual but Perilous Entity Presenting with Severe Malnutrition and Dehydrating Diarrhoea. Journal of Health, Population and Nutrition, 27(6), 808–812. https://doi.org/10.3329/jhpn.v27i6.4333

Issue

Section

Case studies