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A 6-month-old girl was admitted to the intensive care unit of a tertiary pediatric hospital for shortness of breath and respiratory distress for three days following one month of cough. A er ve days antibiotics therapy (amoxicillin sulbactam for three days followed by meropenem for two days), chest CT scan showed severe pneumonia with local consolidation. A er beroptic bronchoscopy and alveolar lavage, she was intubated for ventilation and transported by ambulance to our hospital because of persistent cyanosis. e girl was gravida 2 para 2 and vaginal delivered spontaneously at full gestation age to a gravida 2 para 2 mother with Apgar score of 10 at rst minute and birth weight 4000 g. Her non-consanguineous parents and elder brother were healthy. ere was no family history of tuberculosis. She was vaccinated at birth for BCG and hepatitis B and no other vaccinations were given because of recurrent infections with oral herpes, bronchitis and pneumonia a er one month old.
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Ananya et al. (2020) studied this question.
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