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Pediatric Reports
Volume 11
Issue 4
10.4081/pr.2019.8250
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Case Report

Total Absence of the Pericardium Associated with Hypogammaglobulinemia and Bronchiectasis in a Girl

by
Rachel Kinuani
1,
Pierre-Julien Bruyère
2,
Laurent Schoysman
2,
Céline Kempeneers
1,
Benoît Daron
3 and
Marie-Christine Seghaye
1,*
1
Department of Pediatrics, Divisions of Pediatric Cardiology and Pulmonology, University Hospital Liège
2
Department of Medical Imaging, University Hospital Liège
3
Department of Pediatrics, Regional Hospital East Belgium, Verviers
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2019, 11(4), 8250; https://doi.org/10.4081/pr.2019.8250
Submission received: 18 July 2019 / Revised: 18 July 2019 / Accepted: 7 October 2019 / Published: 2 December 2019

Abstract

We report the case of an 8-years-old girl with recurrent pulmonary infections and wheezing since infancy, in whom asthma and immunoglobulin-G deficiency were diagnosed at the age of 7 months. Since then, the patient was treated for asthma without any satisfactory control of the disease. Cardiomegaly was finally diagnosed radiologically that led to cardiac assessment. Echocardiography suggested left sided partial anomalous pulmonary venous return that was not confirmed at angio-computed tomography scan and cardiac magnetic resonance imaging. Instead, total absence of the pericardium with relative left lung hypoplasia and left-sided bronchiectasis was diagnosed. Immune defect was confirmed. Adequate treatment by immunoglobulin supplementation and observance of the recommended care of bronchiectasis allowed favorable evolution. This case of an unusual association between an exceptional pericardial malformation and immune deficiency causing lower respiratory tract infections complicated by leftsided bronchiectasis highlights the absolute necessity to explore further any child with insufficient asthma control.
Keywords: pericardial agenesis; child; hypogammaglobulinemia pericardial agenesis; child; hypogammaglobulinemia

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MDPI and ACS Style

Kinuani, R.; Bruyère, P.-J.; Schoysman, L.; Kempeneers, C.; Daron, B.; Seghaye, M.-C. Total Absence of the Pericardium Associated with Hypogammaglobulinemia and Bronchiectasis in a Girl. Pediatr. Rep. 2019, 11, 8250. https://doi.org/10.4081/pr.2019.8250

AMA Style

Kinuani R, Bruyère P-J, Schoysman L, Kempeneers C, Daron B, Seghaye M-C. Total Absence of the Pericardium Associated with Hypogammaglobulinemia and Bronchiectasis in a Girl. Pediatric Reports. 2019; 11(4):8250. https://doi.org/10.4081/pr.2019.8250

Chicago/Turabian Style

Kinuani, Rachel, Pierre-Julien Bruyère, Laurent Schoysman, Céline Kempeneers, Benoît Daron, and Marie-Christine Seghaye. 2019. "Total Absence of the Pericardium Associated with Hypogammaglobulinemia and Bronchiectasis in a Girl" Pediatric Reports 11, no. 4: 8250. https://doi.org/10.4081/pr.2019.8250

APA Style

Kinuani, R., Bruyère, P. -J., Schoysman, L., Kempeneers, C., Daron, B., & Seghaye, M. -C. (2019). Total Absence of the Pericardium Associated with Hypogammaglobulinemia and Bronchiectasis in a Girl. Pediatric Reports, 11(4), 8250. https://doi.org/10.4081/pr.2019.8250

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