Lung haemangioma presenting with air-crescent-sign like image in an extreme premature baby

A preterm girl was delivered at 26 weeks by caesarean section because of suspected chorioamnionitis. The pregnancy had been complicated by prolonged rupture of the membranes since 19 weeks. She had a complicated respiratory course with need for invasive ventilation, recurrent pneumonia and two episodes of left-sided pneumothorax, with evolution to bronchopulmonary disease. As a right lower lobe mass was suspected (figure 1), a high-resolution CT chest scan was done which revealed a round homogeneous consolidation with an air crescent sign, typically seen in pulmonary aspergillosis (figure 2). Although there were no clinical signs of fungal infection, antifungal medication was started because of positive Aspergillus antigen in the blood and bronchial aspirate (index of 7 and 1, respectively). After 4 weeks without mass regression, a surgical lobectomy was performed. Pathology confirmed the diagnosis of an infantile capillary haemangioma. Lung haemangiomas are very rare in children, even...
Source: Archives of Disease in Childhood - Fetal and Neonatal Edition - Category: Perinatology & Neonatology Authors: Tags: Oncology, Journalology, Immunology (including allergy), Drugs: infectious diseases, Pneumonia (infectious disease), TB and other respiratory infections, Pregnancy, Reproductive medicine, Child health, Infant health, Neonatal health, Radiology, Pneumonia ( Source Type: research