Adrenobronchial fistula complicating a neonatal adrenal abscess: treatment by percutaneous aspiration and antibiotics.
A case of retroperitoneal pulmonary fistula caused by a neonatal adrenal abscess is reported. The adrenal abscess was diagnosed by means of needle aspiration which guided the choice of antibiotic therapy. The fistula was demonstrated by direct injection of contrast medium into the adrenal abscess. Treatment by needle aspiration of the adrenal abscess and intravenous antibiotics was successful.
Pointe
H D
HD
Department of Radiology, Hôpital d'Enfants Armand-Trousseau, 26 avenue du Docteur Arnold Netter, F-75571 Paris Cedex 12, France.
Osika
E
E
Montagne
J P
JP
Prudent
M
M
Tournier
G
G
Sebbouh
D
D
D000038:Abscess / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D000307:Adrenal Gland Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001983:Bronchial Fistula / Q000209:etiology*; D002439:Cefotaxime / Q000008:administration & dosage / Q000627:therapeutic use; D002511:Cephalosporins / Q000008:administration & dosage / Q000627:therapeutic use; D003287:Contrast Media / Q000008:administration & dosage; D004927:Escherichia coli Infections / Q000000981:diagnostic imaging / Q000188:drug therapy; D005402:Fistula / Q000209:etiology*; D005839:Gentamicins / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D007231:Infant, Newborn; D007275:Injections, Intravenous; D008171:Lung Diseases / Q000209:etiology*; D008297:Male; D009339:Needles; D009428:Netilmicin / Q000008:administration & dosage / Q000627:therapeutic use; D013396:Suction; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D003287:Contrast Media; D005839:Gentamicins; D009428:Netilmicin; D002439:Cefotaxime