Acute Chest Syndrome
Also written as ACS.
Acute chest syndrome needs a cephalosporin plus a macrolide to cover typical and atypical organisms.
What our notes say
- Acute chest syndrome needs a cephalosporin plus a macrolide to cover typical and atypical organisms. (Paediatrics Senior Clerkship end of 2nd semester exam: 4 October 2021, 50 MCQs)
- Sickle Cell Disease: Can present with acute chest syndrome, which may involve pericardial inflammation or effusion. (Pericarditis, effusion and tamponade)
- | Obstructive | Extracardiac flow obstruction | Pericardial tamponade (TB pericarditis), tension pneumothorax, pulmonary embolism, sickle cell acute chest syndrome | (Shock and cardiovascular emergencies)
- Sickle Cell Disease: Precipitates hypovolemic shock (splenic sequestration crisis in children) or obstructive shock (acute chest syndrome with cor pulmonale). (Shock and cardiovascular emergencies)
- | Chest findings (crepitations, tachypnoea) | Acute chest syndrome – pulmonary vaso‑occlusion, infection, or fat embolism. | (Sickle cell disease)
- | Acute chest syndrome | Chest pain, cough, hypoxia, new infiltrate | CXR infiltrates, hypoxia, may coexist with vaso‑occlusive pain | (Sickle cell disease)