Case 188

 A five-year-old girl presented in our hospital with her mother for cough and high fever of 37.9℃. Laboratory test revealed CRP 5.64 mg/dL, white blood cells 5390/mm³, mycoplasma antibody, positive. Chest radiograph was taken to check pneumonia (Fig. 1). When she was 6-month-old, she experienced congestion of eye-bulbar conjunctiva and high fever for a couple of weeks. Laboratory test at that time WBC 15630/mm³ and CRP 9.8 mg/dL.

What is your diagnosis ?

1.　Mediastina teratoma

2.　Cardiac aneurysm

3.　Coronary aneurysms

4.　Diaphragmatic hernia

5.　Echinococcus infection

answer

2020.4.15