Congenital lung and airway malformations — clinical case

Case summary

This child presents the classic postnatal face of a congenital lung malformation in a setting without antenatal detection: pneumonia that keeps returning to the same lobe with a wet cough that never fully clears. Same-site recurrence is the signal that a fixed structural lesion is providing a reservoir for infection, and in a child born without antenatal imaging a previously undetected congenital malformation such as a CPAM or an intralobar sequestration is high on the list rather than simple bad luck with viruses. ^{[1] [2]}