Systemic Steroid Treatment for Severe Expanding Pneumococcal
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Introduction
Community-acquired pneumonia (CAP) is a significant cause of morbidity and mortality in childhood. Standard treatment for bacterial CAP consists of antibiotic therapy and supportive care, for example, intravenous fluids and supplemental oxygen. The role of systemic corticosteroids in the treatment of bacterial CAP has been reported in adults with conflicting results. We present a case of a child with severe expanding pneumococcal pneumonia that responded to systemic steroids.

Case Presentation
A 5-year-old, generally healthy girl, presented to the emergency room with a two-day history of fever, breathing difficulties, and cough. Upon admission she was dyspneic, febrile (38.2°C), and with a heart rate of 160 beats per minute. On auscultation crackles and reduced air entry to the left lung were diagnosed....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4357128/
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