Key result
Retrocardiac pneumonia by Streptococcus pneumoniae can present atypically with acute abdominal pain and fever, mimicking an acute abdomen without respiratory signs and symptoms.
Case Report (n=1)
Retrocardiac pneumonia in children can present atypically as acute abdominal pain without respiratory symptoms, mimicking an acute abdomen.
May warrant considering retrocardiac pneumococcal pneumonia in pediatric acute abdomen with fever; case report leaves open broader validation.
We present the case of a child who showed acute abdominal pain and fever due to retrocardiac pneumonia by Streptococcus pneumoniae without respiratory signs and symptoms. Acute abdominal pain is a common presenting symptom of children seen in pediatric emergency rooms. Basilar pneumonia is an uncommonly known cause of pediatric abdominal pain; it may go unrecognized on a patient's initial evaluation. Our case suggests that the clinical manifestations of a retrocardiac pneumonia can be atypical with abdominal pain as the principal complaint, mimicking acute abdomen.
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Pezone et al. (2012) conducted a case report in Retrocardiac pneumonia (n=1). Retrocardiac pneumonia was evaluated. Retrocardiac pneumonia by Streptococcus pneumoniae can present atypically with acute abdominal pain and fever, mimicking an acute abdomen without respiratory signs and symptoms.
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