TY -的T1 -一个11-yr-old男性与肺炎d persistent airway obstruction JF - European Respiratory Journal JO - Eur Respir J SP - 582 LP - 584 DO - 10.1183/09031936.02.00271602 VL - 19 IS - 3 AU - Niggemann, B. AU - Gerstner, B. AU - Guschmann, M. AU - Paul, K. AU - Wit, J. AU - Mau, H. AU - Wahn, U. Y1 - 2002/03/01 UR - //www.qdcxjkg.com/content/19/3/582.abstract N2 - At the age of 4 yrs the male child suffered from a Wilms-tumour of the right kidney treated by polychemotherapy (SIOP No. 9 for stage 1 using actinomycin and vincristin) and surgical removal. A year later, abdominal pain occurred and a local relapse of the Wilms-tumour was diagnosed. Further diagnostics revealed infiltration into the liver, diaphragm, and the thoracic wall. In addition, three lung metastases were found. The child received polychemotherapy again (according to protocol SIOP 93/01 for stage 4 using adriamycin, etoposide, carboplatin, ifosphamide) and radiotherapy of the lung, abdomen (15 Gray) and of the tumour site (35 Gray). The tumour could be resected. All follow-ups during the next 6 yrs showed remission and the child was healthy. At the age of 11 yrs, he presented with fever and cough. The chest radiograph showed an opacity of the left upper field (fig. 1⇓). Under the suspicion of pneumonia, antibiotic treatment was started. Due to bronchial obstruction, the child received … ER -