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Tran, Ly Cong
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Medicine & Pharmacology

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Journal : Medical Journal of Indonesia

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Commonly misdiagnosed round pneumonia in a child: a case report Tran, Khai Quang; Bui, Nghia Quang; Pham, Tho Kieu Anh; Nguyen, Tri Duc; Pham, Quan Minh; Tran, NhuThi Huynh; Tran, Ly Cong; Do, Nam Hoang; Nguyen, Phuong Minh
Medical Journal of Indonesia Vol. 32 No. 4 (2023): December
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.cr.237117

Abstract

Round pneumonia, a specific radiological finding in children, is often caused by Streptococcus pneumoniae; but it is easily misdiagnosed with some other diseases, causing many difficulties for clinicians. We described a case report of round pneumonia in a 9-year-old boy, with chest pain, following fever, productive cough, left-sided pulmonary consolidation syndrome, tachypnea, no chest indrawing, and a round homogenous lesion about 4 cm in diameter with a clear border in the left upper lobe position on chest X-ray. He was initially misdiagnosed as a lung tumor. He was correctly diagnosed with round pneumonia prior to pneumonectomy and was successfully treated with antibiotics. Therefore, it is important to carefully analyze round pneumonia cases that are often misdiagnosed, resulting in poor therapy.
Predictor of recurrent exacerbations in pediatric asthma Tran, Ly Cong; Phan, Hung Viet; Vo-Pham-Minh, Thu; Bui, Nghia Quang; Nguyen-Dinh-Nguyen, Chuong; Nguyen Thao, Nguyen Thi; Nguyen Huynh, Ai Uyen; Tran, Nhu Thi Huynh; Nguyen, Phuong Minh
Medical Journal of Indonesia Vol. 33 No. 1 (2024): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.247309

Abstract

BACKGROUND Asthma imposes a heavy morbidity burden during childhood. Severe persistent asthma significantly increases patients’ risk of exacerbations, hospital admissions, and mortality and often substantially impairs their quality of life. This study aimed to identify high-risk patients for exacerbation recurrence using spirometric parameters. METHODS A prospective cohort study involving patients with asthma aged 6–15 years was conducted at the principal children’s hospital in Mekong Delta, Vietnam, from June 2020 to June 2022. Demographic, clinical, and lung function characteristics of the patients were collected. Spirometry measurement parameters were utilized as predictive factors for the short-term asthma exacerbation recurrence. RESULTS Among all patients (mean age of 9.5 years old), 10.4% experienced recurrent exacerbations. FEV1, FVC, FEV1/FVC, FEF25–75, FEF25–75/FVC, and PEF, gradually decreased with increasing exacerbation severity (p<0.01). All patients showed a positive bronchodilator responsiveness (BDR), with a mean value of 16.85 (3.00)%, which was significantly different between the severe and non-severe asthma groups (20.53 [2.83] versus 16.00 [2.35], p<0.001). After adjusting in multivariable logistic regression, a BDR ≥20% was identified as the sole independent factor associated with an increased risk of asthma exacerbation recurrence (aOR 6.95, 95% CI 1.08–44.75, p = 0.041). CONCLUSIONS A high BDR can serve as a predictor of acute asthma exacerbation recurrence.
Co-Authors Bui, Nghia Quang Do, Nam Hoang Nguyen Huynh, Ai Uyen Nguyen Thao, Nguyen Thi Nguyen, Phuong Minh Nguyen, Tri Duc Nguyen-Dinh-Nguyen, Chuong Pham, Quan Minh Pham, Tho Kieu Anh Phan, Hung Viet Tran, Khai Quang Tran, Nhu Thi Huynh Tran, NhuThi Huynh Vo-Pham-Minh, Thu