TITLE:
Isolated Right Pulmonary Agenesis in a 2-Month-Old Infant in the Pediatric Ward of Hospital of Mali
AUTHORS:
Bourama Kané, Mody Abdoulaye Camara, Seydou Togo, Mohame Maba Traoré, Boubacar Mami Touré, Moussa Abdoulaye Ouattara
KEYWORDS:
Pulmonary, Isolated Agenesis, Pediatric, Hospital of Mali
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.10 No.2,
May
20,
2020
ABSTRACT: Introduction: Pulmonary agenesis is a rare congenital abnormality defined by the
absence of parenchyma, bronchi and pulmonary vessels, frequently associated
with other malformations. We describe a case of isolated right pulmonary
agenesis diagnosed in the pediatric ward of the Mali Hospital. Clinical case:
He was a month-old baby boy, born at term by cesarean section of a
well-followed pregnancy. He was not resuscitated. He developed dyspnea after a
cold. An emergency chest X-ray revealed a right opaque lung. He was referred to
the hospital for the exploration of this opacity. At the entrance, it weighed
3910 g, size: 54 cm and the temperature was 36.9°C. He had a polypnea, an
intercostal print. The sounds of the heart were diverted to the right. The rest
of the clinical examination was without much particularity. The chest CT scan
confirmed the right pulmonary agenesis. Abdominal and cardiac ultrasound was normal. A healing includes oxygenotherapy, serum glucose 10% minding 100 ml/ Kg/day and amoxicillin minding 100 mg/ Kg/day at 3 times by oral way. After
24 hours of treatment, we
observed an improvement in dyspnea. On D2, he was weaned off oxygen and resumed feeding. Conclusion: Pulmonary agenesis is a rare congenital anomaly that is frequently associated
with other malformations, thus making its prognosis poor. The search for
malformative abnormalities should be systematic in right pulmonary agenesis.