This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Alkrinawi, S. Articles by Pianosi, P. Search for Related Content PubMed PubMed Citation Articles by Alkrinawi, S. Articles by Pianosi, P. Social Bookmarking                         What's this?

Pulmonary Function Following Blastomycosis in Childhood

Department of Pediatrics and Child Health, University of Manitoba, Children's Hospital of Winnipeg, Canada

P. Pianosi, MD, FRCP(C)

Department of Pediatrics and Child Health, University of Manitoba, Children's Hospital of Winnipeg, Canada; Division of Respirology, IWK Grace Health Centre, PO Box 3070, 5850 University Ave., Halifax, NS, Canada B3J 3G9

In order to determine the pulmonary outcome following blastomycosis during childhood, we compiled a case series of hospitalized patients from a retrospective review with later recall for pulmonary function testing, coupled with prospective measurements of pulmonary function in three patients, at a tertiary care children's hospital. A convenience sample of five of 17 patients hospitalized with pulmonary blastomycosis, whose mean age at the time of diagnosis was 10.6 +5.5 years, was recalled at a mean of 4.5 +3.5 years after diagnosis. Three patients more recently hospitalized underwent serial pulmonary function testing (PFT) prospectively from as soon after the acute infection as their condition permitted. All but two patients had normal PFT when last seen. The two patients with persistent pulmonary sequelae were among those followed up prospectively and had more severe clinical and radiographic pictures at the outset. Pulmonary function in children who suffered from pulmonary blastomycosis is normal in most patients at follow-up years later. Severe radiographic disease and slow recovery over months portend long-term sequelae.

Clinical Pediatrics, Vol. 39, No. 1, 27-31 (2000)
DOI: 10.1177/000992280003900103


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?