• Cristina de Manuel Gómez, Sonia Milkova Ivanova, Teresa Del Rosal, Carmen Cámara, César Oterino Serrano, María Elena Pérez Arenas, Ana Cecilia Morales Palacios, and Carlos A de la Torre Ramos.
• Pediatric Pulmonology Department, Hospital Universitario La Paz, Madrid, Spain. Electronic address: cristina6490@gmail.com.
• Chest. 2022 Oct 1; 162 (4): e161e164e161-e164.

AbstractA 15-year-old boy presented with three acute episodes of self-limited hemoptysis. He was being followed by the pediatric pulmonology department for necrotizing pneumonia and a right upper lobe lung abscess with residual pneumatocele 5 years earlier. He had also experienced recurrent perianal abscesses and more than 15 acute suppurative otitis media throughout his life, even after myringotomy and transtympanic drainage; methicillin-sensitive Staphyloccocus aureus was found in a culture of otic exudate. He had no known allergies and was not taking any drugs. The patient's father had presented with more than 20 skin abscesses and was carrier of methicillin-resistant S aureus. After necrotizing pneumonia and along with his family history, the patient had undergone a neutrophil oxidative burst test excluding chronic granulomatous disease; immunoglobulin levels and lymphocyte populations were within normal range.Copyright © 2022 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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