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Background <p>Pulmonary cystic lesions in children encompass various congenital and acquired conditions, representing significant diagnostic and therapeutic challenges, especially in developing countries.</p> Aim <p>To determine the etiology, clinical presentation and outcomes of cystic lung lesions among pediatric patients.</p> Methods <p>A descriptive case series study was conducted at The Cairo University Children’s Hospital, involving 41 children (≤ 14 years) with clinically and radiologically confirmed cystic lung lesions. Clinical assessments, laboratory tests (CBC, CRP, cultures), and imaging (X-ray, CT) were performed.</p> Results <p>The cohort comprised 23 males (56.1%) with a mean age of 3.61 ± 3.83 years. Acquired cystic lesions were predominant (85.4%), mainly lung abscesses (63.4%), followed by pneumatoceles (19.5%) and hydatid cysts (2.4%). Congenital lesions represented 14.6%, all classified as congenital cystic adenomatoid malformations (CCAM). Most patients presented with respiratory distress (97%), cough (95.1%), and fever (95.1%). Elevated inflammatory markers were common (CRP 92.3%, mean TLC 16.05 × 10⁹/L). Medical therapy sufficed for 73.2%, while 31.7% required intercostal drainage and 26.8% underwent surgery. Outcomes were favorable, with 90% clinical improvement and no mortality.</p> Conclusion <p>Acquired cystic lung lesions, mainly lung abscesses, predominated in Egyptian children. Symptoms commonly included respiratory distress, cough, and fever, with CRP and leukocytosis reflecting severity. Most cases resolved with medical therapy; surgery was reserved for complications.</p>

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Causes and outcome of pulmonary cysts in pediatric age group among Egyptian patients, case-series study

  • 期刊论文

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  • 发表日期：

    2025年11月17日

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  • Erini Fawzy,
  • Mai El-Mahdy,
  • Nevine Elhelaly,
  • Iman Abdulaziz,
  • Muhammad Hegazy,
  • Amr Mustafa

摘要

Background

Pulmonary cystic lesions in children encompass various congenital and acquired conditions, representing significant diagnostic and therapeutic challenges, especially in developing countries.

Aim

To determine the etiology, clinical presentation and outcomes of cystic lung lesions among pediatric patients.

Methods

A descriptive case series study was conducted at The Cairo University Children’s Hospital, involving 41 children (≤ 14 years) with clinically and radiologically confirmed cystic lung lesions. Clinical assessments, laboratory tests (CBC, CRP, cultures), and imaging (X-ray, CT) were performed.

Results

The cohort comprised 23 males (56.1%) with a mean age of 3.61 ± 3.83 years. Acquired cystic lesions were predominant (85.4%), mainly lung abscesses (63.4%), followed by pneumatoceles (19.5%) and hydatid cysts (2.4%). Congenital lesions represented 14.6%, all classified as congenital cystic adenomatoid malformations (CCAM). Most patients presented with respiratory distress (97%), cough (95.1%), and fever (95.1%). Elevated inflammatory markers were common (CRP 92.3%, mean TLC 16.05 × 10⁹/L). Medical therapy sufficed for 73.2%, while 31.7% required intercostal drainage and 26.8% underwent surgery. Outcomes were favorable, with 90% clinical improvement and no mortality.

Conclusion

Acquired cystic lung lesions, mainly lung abscesses, predominated in Egyptian children. Symptoms commonly included respiratory distress, cough, and fever, with CRP and leukocytosis reflecting severity. Most cases resolved with medical therapy; surgery was reserved for complications.