PEDIATRICS Vol. 49 No. 1 January 1972, pp. 124-127
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Successful Treatment of Multiple Pulmonary Infarctions in Childhood

Joel M. Karlin M.D.1 and Margaret Hilgartner M.D.2

1 Department of Pediatrics, National Jewish Hospital, Denver, Colorado
2 Department of Pediatrics, Cornell University Medical Center, 525 East 68th Street, New York, New York 10021

Pulmonary thromboembolic disease in childhood had previously been a postmortem diagnosis occurring in association with congenital heart disease, sickle cell anemia, infection, and foreign bodies. This paper is the first report of multiple sterile pulmonary infarctions in a child successfully treated with anticoagulation therapy.

Case Report

D. P., a 6-year-old Caucasian male, was admitted to the New York Hospital with fever and cough of 7 days duration unresponsive to oral antibiotic therapy. He had initially presented here at age 7 weeks in congestive heart failure with a large left-to-right shunt at the ventricular level demonstrated by cardiac catheterization and angiography.