Presentation
Chest pain.
Patient Data
Age: 30 years
Gender: Female
From the case:
Acute chest syndrome - sickle cell disease
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Low lung volume with bilateral basal opacities.
From the case:
Acute chest syndrome - sickle cell disease
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No acute pulmonary embolism. Mild cardiomegaly. Bilateral posterior lower lobe patchy consolidations, suggestive of either multifocal pneumonia or acute chest syndrome.
Case Discussion
Bilateral lower lobe patchy consolidation in a patient with sickle cell anemia in the setting of acute chest pain highly suggestive of acute chest syndrome. For this particular patient, a throat bacterial culture was +4 β-hemolytic streptococcus Group A (S. pyogenes).