Clinical Case Database / Category: Patient Management

The child with cough & temperature - what is going on?

Publication details

Dr Suparna Dasgupta FRCPCH, PGCE(WPBA), Dr Oghome Igbrude, Dr Thomas Webster
Foundation Years Journal, volume 8, issue 8, p.45 (123Doc Education, London, September 2014)


We present a case study of a 2 year old boy who developed a pulmonary abscess after completing treatment for pneumonia. Learning points including the assessment of the febrile child, use of clinical judgment in reassessing delayed clinical response, the investigation and management of pneumonia, pleural disease and pulmonary abscess in line with national guidelines.

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Dr Suparna Dasgupta FRCPCH, PGCE(WPBA) (Corresponding author)

Consultant Paediatrician North Manchester General Hospital
Delaunays Road, Crumpsall, Manchester, M8 5RB

Dr Oghome Igbrude

Foundation Year 1 Doctor
Pennine Acute Trust Hospital
Delaunays Road, Crumpsall, M8 5RB

Dr Thomas Webster

Paediatric Speciality Registrar Year 4
Pennine Acute Trust Hospital
Delaunays Road, Crumpsall, M8 5RB


1.  National Institute for Health and Care Excellence (2013) Feverish illness in children. CG160. London: National Institute for Health and Care Excellence.

2.  Harris M, Clark J, Coote N et al. Guidelines for the management of community acquired pneumonia in children: update 2011. Thorax 2011;66 (Suppl 2): ii1-ii23.

3.  Balfour-Lynn I M, Abrahamson E,Cohen G et al. BTS guidelines for the management of pleural infection in children. Thorax 2005;60 (Suppl 1): i1-121.


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.