YETİŞKİN BİR HASTADA ROUND PNÖMONİ: OLGU SUNUMU Round Pneumonia in an Adult Patient: A Case Report

ÖZET Round pnömoni çocuklarda daha sık, yetişkinlerde ise nadir görülen bir akciğer enfeksiyonudur. Akciğer grafilerinde oval şekilli lezyonlar olarak görülmesinden dolayı bronkojenik karsinom ile karıştırılabilmektedir. Genellikle benign seyir göstermesi ve antibiyoterapiyle rezolüsyona uğraması pulmoner malignitelerden ayırt edilmesini sağlar. Biz burada, round pnömoni saptadığımız ve antibiyotik tedavisi sonrasında klinik ve radyolojik düzelme sağlanan bir olguyu sunduk. Klinisyenler akciğer malignitelerini görünüm olarak taklit edebilen, nadir görülen bu pnömoni tipini gereksiz tanısal testlerden kaçınmak için akılda bulundurmalıdır. Anahtar Sözcükler: Pnömoni; Round pnömoni; Erişkin ABSTRACT Round pneumonia is a lung infection which is more common in children but rarely seen in adults. Because of oval-shaped lesions on chest radiograms, it may be confused with bronchogenic carcinoma. Usually benign course and resolution with antibiotherapy allow to distinguish it from pulmonary malignancies. We present a case with round pneumonia and clinical and radiological improvement after antibiotic treatment. Clinicians should keep in mind this rare type of pneumonia, which can mimic lung malignancies in appearance, to avoid unnecessary diagnostic tests. Keywords: Pneumonia; Round pneumonia; Adult

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YETİŞKİN BİR HASTADA ROUND PNÖMONİ: OLGU SUNUMU Round Pneumonia in an Adult Patient: A Case Report

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1. Koinuma G, Shinjoh M et al. Round pneumonia due to Chlamydia pneumonia in a child. Radiology case reports 2019; 14(4): 436-38 2. Zhang Y, Yu YS, Tang ZH et al. Round Pneumonia in an adult. Southeast Asian J Trop Med Public Health 2014; 45(1): 207-13 3. Alegre P. et al. Round pneumonia a rare condition mimicking bronchogenic carcinoma.Case report and review of the literature. Sao Paulo Med J. 2008; 126(4): 236-8 4. Greenfield H, Gyepes MT; Oval-shaped consolidations simulatingnewgrowth of the lung. Am J Roentgenol Radium Ther Nucl Med., 1964; 91: 125-131. 5. Camargo JJP, Camargo SM, Machuca TN, Perin FA; Round pneumonia: a rare condition mimicking bronchogenic carcinoma. Case report and review of the literature. Sao Paulo Med J., 2008; 126(4): 236- 38 6. Zinkernagel AS, Schaffner A, Himmelman A. Photo quiz. Round pneumonia due to Streptococcus pneumoniae. Clin Infect Dis 2001; 32: 1188, 1233-4 7. Wagner AL, Szabunio M, Hazlett KS, Wagner SG. Radiologic manifestations of round pneumonia in adults. Am J Roentgenol 1998; 170: 723-6. 8. Wan YL, Kuo HP, Tsai YH, et al. Eight cases of severe acute respiratory syndrome presenting as round pneumonia. Am J Roentgenol 2004; 182: 1567-70 9. Pandya K, Tuchschmidt J, Gordonson J, Boylen CT. Mass lesion in an intravenous drug user. Round pneumonia. West J Med 1989; 150: 95-6. 10. Soubani AO, Epstein SK. Life-threatening “round pneumonia”. Am J Emerg Med 1996; 14: 189-91.