{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T08:47:02Z","timestamp":1696063622720},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Primary pulmonary tumors are rare in pediatrics. When they are encountered, they are usually carcinoid tumors or mucoepidermoid carcinomas. We present a patient who presented to both his primary care physician and the pediatric emergency department with recurrent bouts of wheezing and pneumonia, none of which ever completely resolved despite appropriate treatment. The patient had multiple chest films, which demonstrated the persistence of what appeared to be a right-sided infiltrate\/atelectasis. Ultimately, the patient underwent a diagnostic workup that included a computed tomography scan and bronchoscopy. These studies revealed the presence of a bronchial mucoepidermoid carcinoma. The patient was successfully treated with photoablation of the lesion through the involvement of multiple subspecialists, including pediatric pulmonology, pediatric surgery, pediatric otolaryngology, and pediatric oncology. We discuss the incidence and epidemiology of pediatric bronchial tumors in general and mucoepidermoid carcinoma in particular as well as diagnosis, treatment options, and prognosis. Emergency physicians must maintain a high index of suspicion for alternate diagnoses in patients whose disease fails to respond to traditionally accepted therapy.<\/jats:p>","DOI":"10.1097\/pec.0000000000000510","type":"journal-article","created":{"date-parts":[[2015,9,27]],"date-time":"2015-09-27T12:30:07Z","timestamp":1443357007000},"page":"31-33","source":"Crossref","is-referenced-by-count":2,"title":["Persistent Pneumonia"],"prefix":"10.1097","volume":"33","author":[{"given":"Timothy","family":"Ruttan","sequence":"first","affiliation":[{"name":"From the *Pediatric Emergency Medicine, The University of Texas at Austin Dell Medical School; and \u2020Austin Children's Chest Associates, Dell Children's Medical Center of Central Texas, Austin, TX."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Vezzetti","sequence":"additional","affiliation":[{"name":"From the *Pediatric Emergency Medicine, The University of Texas at Austin Dell Medical School; and \u2020Austin Children's Chest Associates, Dell Children's Medical Center of Central Texas, Austin, TX."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordan","family":"Scalo","sequence":"additional","affiliation":[{"name":"From the *Pediatric Emergency Medicine, The University of Texas at Austin Dell Medical School; and \u2020Austin Children's Chest Associates, Dell Children's Medical Center of Central Texas, Austin, TX."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"bib1-20230930","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1097\/PEC.0000000000000065","article-title":"All that wheezes is not asthma: cognitive bias in pediatric emergency medical decision making","volume":"30","year":"2014","journal-title":"Pediatr Emerg Care"},{"key":"bib2-20230930","doi-asserted-by":"crossref","first-page":"E204","DOI":"10.1111\/jpc.12124","article-title":"Bronchoscopic evaluation of unexplained recurrent and persistent pneumonia in children","volume":"49","year":"2013","journal-title":"J Paediatr Child Health"},{"key":"bib3-20230930","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1055\/s-0030-1250389","article-title":"Bronchial mucoepidermoid carcinoma in children","volume":"59","year":"2011","journal-title":"Thorac Cardiovasc Surg"},{"key":"bib4-20230930","doi-asserted-by":"crossref","first-page":"124","DOI":"10.3928\/00904481-20110217-04","article-title":"A 7-year-old girl with cough, fever, pneumonia. Diagnosis: mucoepidermoid carcinoma (MEC)","volume":"40","year":"2011","journal-title":"Pediatr Ann"},{"key":"bib5-20230930","doi-asserted-by":"crossref","first-page":"159","DOI":"10.4103\/0189-6725.99406","article-title":"Mucoepidermoid carcinoma of the lung in a 6-year-old boy","volume":"9","year":"2012","journal-title":"Afr J Paediatr Surg"},{"key":"bib6-20230930","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.3892\/ol.2013.1529","article-title":"Childhood bronchial mucoepidermoid tumors: a case report and literature review","volume":"6","year":"2013","journal-title":"Oncol Lett"},{"key":"bib7-20230930","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1002\/jso.2930460412","article-title":"Endobronchial carcinoid and mucoepidermoid carcinoma in children","volume":"46","year":"1991","journal-title":"J Surg Oncol"},{"key":"bib8-20230930","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1001\/archoto.2011.153","article-title":"Pediatric tracheal and endobronchial tumors: an institutional experience","volume":"137","year":"2011","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"bib9-20230930","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1177\/000348940111000112","article-title":"Endobronchial tumors in children: an uncommon clinical entity","volume":"110","year":"2001","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"bib10-20230930","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1111\/j.1440-1843.2007.01207.x","article-title":"Prognostic factors of tracheobronchial mucoepidermoid carcinoma\u201415 years experience","volume":"13","year":"2008","journal-title":"Respirology"},{"key":"bib11-20230930","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1016\/jpsu.2003.50195","article-title":"Endobronchial tumors in children: institutional experience and literature review","volume":"38","year":"2003","journal-title":"J Pediatr Surg"},{"key":"bib12-20230930","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1080\/08880010050034346","article-title":"Mucoepidermoid carcinoma of the bronchus","volume":"17","year":"2000","journal-title":"Pediatr Hematol Oncol"},{"key":"bib13-20230930","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1016\/0022-3468(93)90147-D","article-title":"Childhood primary pulmonary neoplasms","volume":"28","year":"1993","journal-title":"J Pediatr Surg"},{"key":"bib14-20230930","first-page":"321","article-title":"Thymic tumors characterized by lymphangioendothelial structure","volume":"28","year":"1952","journal-title":"Am J Pathol"},{"key":"bib15-20230930","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1053\/crad.2000.0108","article-title":"Endobronchial mucoepidermoid carcinoma in childhood: case report and literature review","volume":"55","year":"2000","journal-title":"Clin Radiol"},{"key":"bib16-20230930","doi-asserted-by":"crossref","first-page":"1346","DOI":"10.1002\/1097-0142(19870915)60:6<1346::AID-CNCR2820600631>3.0.CO;2-0","article-title":"Mucoepidermoid tumors of the lung","volume":"60","year":"1987","journal-title":"Cancer"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006565-201701000-00008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T08:06:25Z","timestamp":1696061185000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006565-201701000-00008"}},"subtitle":["Time to Take a Closer Look"],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000000510","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2017,1]]}}}