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Table 3 Clinical features of ACS

From: The Acute Chest Syndrome in Cameroonian children living with sickle cell disease

  Number (N = 21) Percentage (%)
Duration of evolution of symptoms before consultation   
  ≤ 48 h 6 28.6
  > 48 h 15 71.4
Symptoms motivating consultation   
 Fever 19 90.5
 Cough 17 81
 Thoracic pains 6 28.6
 Generalized pains 6 28.6
 Abdominal pains 5 23.8
 Dyspnea 5 23.8
 Asthenia 2 9.5
 Referred for management of severe anemia 3 14.3
 Priapism 1 4.8
 Vomiting 1 4.8
Clinical signs   
 Altered general appearance 13 61.9
 Pulmonary consolidation 21 100
 Clinical anemia 12 57.1
 Respiratory distress 7 33.3
 Systemic inflammatory response syndrome 12 57.1
 Jaundice 2 9.5
 Hemoglobinuria 1 4.8
Result of the chest X ray   
 Right upper lobe consolidation 2 9.5
 Right middle and lower lobes consolidation 2 9.5
 Right lower lobe consolidation 12 57.1
 Left lower lobe consolidation 3 14.3
 Right and left lower lobes consolidation 2 9.5
Hemocultures   
 Not done 11 52.4
 Negative 10 47.6
 Positive 0 0
Malaria parasitemia (by thick blood smear)   
 Not done 6 28.6
 Negative 14 66.7
 Positive 1 4.8