Morgagni hernia mimicking pneumonia in Down syndrome.
Down syndrome patients are immunodeficient and commonly suffer from respiratory infections. Two children with Down syndrome were referred for evaluation of recurrent pneumonia accompanied by persistent infiltrate on chest radiographs. In both cases the radiographic abnormalities were actually found to be Morgagni hernia. When a child with Down syndrome has a persistent lower lobe infiltrate on chest radiograph, the possibility of a diaphragmatic defect should be entertained.
Picard
Elie
E
Department of Pediatric Respiratory Medicine, Shaare Zedek Medical Center, Jerusalem, Israel. picard@szmc.org.il
Ben Nun
Alona
A
Fisher
Drora
D
Schwartz
Shepard
S
Goldberg
Meir
M
Goldberg
Shmuel
S
D002675:Child, Preschool; D003951:Diagnostic Errors; D004314:Down Syndrome / Q000150:complications*; D006548:Hernia, Diaphragmatic / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D008297:Male; D011014:Pneumonia / Q000150:complications / Q000175:diagnosis*