EC Paediatrics

We are reporting a 7 months old girl, who had a febrile illness, signs of upper respiratory tract infection for couple of days, progressed rapidly to worsening respiratory manifestations, difficulty of breathing, unequal chest movement and hypoxia, physical examination reviled marked decrease air entry on RT side, chest xray showed Rt sided spontaneous pneumothorax and pulmonary air leak syndrome.

Patient required mechanical ventilator and had difficult ICU course with sever complicated community acquired pneumonia, spontaneous pneumothorax, progressed to necrotizing pneumonia and that was the first presentation of primary immunodeficiency disorder.

Keywords: Community Acquired Pneumonia (CAP); Pulmonary Air Leak Syndrome; Necrotizing Pneumonia (NP); Primary Immunodeficiency Disorders (PID)

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