English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

The prevalence of community-acquired pneumonia (CAP) and complications is high in developing countries including Cameroon, with close to 151 million new cases every year in children aged less than 5 years [1,2]. Its mortality rate lies between 1.3 – 2.6% [1,2]. Pleuropneumonia or empyema thorasis is an uncommon and particular complication of childhood pneumonia and some physicians may only see few cases in their career [3]. The reported incidence worldwide lies between 0.7 and 3.3 per 100 000 children [3,4]. Unlike adults in whom mortality due to empyema could be as high as 20%, children rarely die of empyema. However, it is associated with significant morbidity and sustained burden to health care resources [5, 6]. In effect, the incidence of childhood hospitalization due to CAP is 8.7% in developing countries, of which 75% have severe or very severe pneumonia according to World Health Organization (WHO) classification [7, 8, 9]. The risk factors identified are malnutrition, crowding, low birth weight, low level of immunization, vitamin A deficiency, smoking, HIV [1,7]. Despite preventive measures such as encouraged breastfeeding, immunization, vitamin A supplementation andantibiotic therapy, recent data suggest that the number of children with severe CAP and complications including pleuropneumonia are increasing world wide [10]. This may be due to uncovered germs by immunization, a process known as “replacement phenomenon” [10]. Therefore, there is need for research in various areas including aetiologies, complications and contextualised evidence-based recommendations for management [10]. Systematic reviews have revealed Staphylocaccus aureus along side Streptococcus pneumoniae and Hemophilus influenzae as the most frequently cultured bacteria in severe pediatric cases of CAP and complications [11, 12]. We present a case of community acquired methicillin-resistant Abstract

Voluminous Community-Acquired Methicillin-Resistant Staphylococcal Pleuropneumonia in a Cameroonian Child