Revista Espanola de Pediatria
Volume 67, Issue 5, 2011, Pages 241-246

Mild hemoptysis in an immigrant child: Diagnostic up-date [Hemoptisis leve en un niño inmigrante. Puesta al día diagnóstica] (Article)

Sanavia Morán E. , Garrido Conde B. , Cobo Elorriaga P. , Ortiz San Román L. , Santos Sebastián M. , Rodríguez Cimadevilla J.L. , Salcedo Posadas A.*
  • a Unidad de Neumofisiología Y Pruebas Funcionales, Sección de Neumología Pediátrica, Hospital General Universitario Gregorio Marañón, Madrid, Spain
  • b Unidad de Neumofisiología Y Pruebas Funcionales, Sección de Neumología Pediátrica, Hospital General Universitario Gregorio Marañón, Madrid, Spain
  • c Unidad de Neumofisiología Y Pruebas Funcionales, Sección de Neumología Pediátrica, Hospital General Universitario Gregorio Marañón, Madrid, Spain
  • d Unidad de Neumofisiología Y Pruebas Funcionales, Sección de Neumología Pediátrica, Hospital General Universitario Gregorio Marañón, Madrid, Spain
  • e Sección de Enfermedades Infecciosas, Servicio de Pediatría, Hospital General Universitario Gregorio Marañón, Madrid, Spain
  • f Unidad de Neumofisiología Y Pruebas Funcionales, Sección de Neumología Pediátrica, Hospital General Universitario Gregorio Marañón, Madrid, Spain
  • g Unidad de Neumofisiología Y Pruebas Funcionales, Sección de Neumología Pediátrica, Hospital General Universitario Gregorio Marañón, Madrid, Spain

Abstract

We present the case of a 9-year-old child from Peru with a background of chronic cough and discontinuous hemoptoic expectoration of 3 months evolution in which persistent pulmonary infiltrate was detected on the chest x-ray. We describe the action guidelines with this type of patients as well as the problems created in the detection of the underlying cause of bleeding. Hemoptysis is an uncommon sign in the pediatric practice, however it produces much anxiety for the patient and their family, as well as for the physician, for whom it supposes a diagnostic-therapeutic challenge. Its low incidence in the child may lead to initial delays in its diagnosis and this sign may even go unnoticed. The spectrum of pathological conditions that may cause it is very wide and usually the most frequent ones are infectious causes, although there may be other underlying potentially severe diseases. Therefore, it is of priority to know the exact etiology and to decide the consequent therapeutic attitude.

Author Keywords

Hemoptysis Children Diagnosis Management Treatment

Index Keywords

anxiety coughing thorax radiography pathology immigrant pediatrics bleeding lung infiltrate anamnesis Peru Article practice guideline hemoptysis human school child Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-80455173686&partnerID=40&md5=6c2963f83b7b906dbc9677314cebf1d6
ISSN: 0034947X
Original Language: Spanish