Poland syndrome associated with severe pneumonia in a patient with cystic fibrosis: a case report from Baca Ortiz Pediatric Hospital, Quito, Ecuador
DOI:
https://doi.org/10.71112/zj2eyn95Keywords:
Poland syndrome, cystic fibrosis, severe pneumonia, chest wall abnormalities, pediatric clinical conditionAbstract
Introduction: Poland syndrome is a rare congenital condition characterized by the absence or hypoplasia of the pectoralis major muscle. It is frequently associated with thoracic deformities and, in certain cases, abnormalities in the ipsilateral upper limb. Case Report: A 14-year-old male, previously diagnosed with cystic fibrosis, was admitted to the hospital due to severe pneumonia caused by Chlamydia pneumoniae. During his clinical evolution, thoracic anomalies consistent with Poland syndrome were identified, including pectus excavatum, right pectoral hypoplasia, thoracic scoliosis, and abnormalities in trapezius muscle insertion. The patient required intensive care management with non-invasive respiratory support, targeted antibiotic therapy, and close monitoring. Discussion: The coexistence of cystic fibrosis and Poland syndrome presents a diagnostic challenge, as structural thoracic changes may initially be attributed to the respiratory complications of cystic fibrosis. This case highlights the importance of thorough physical examination and multidisciplinary collaboration for the early diagnosis of congenital anomalies. Conclusion: Recognizing Poland syndrome in patients with comorbid respiratory conditions enhances clinical and surgical follow-up, facilitates genetic counseling, and supports tailored rehabilitation strategies.
Downloads
References
Buckwalter, J. A., & Shah, A. S. (2016). Presentation and treatment of Poland anomaly. Hand, 11(4), 389–395. SAGE Publications Inc. https://doi.org/10.1177/1558944716647355
Caro-Domínguez, P., Lecacheux, C., Hernandez-Herrera, C., & Llorens-Salvador, R. (2021). Cranial ultrasound for beginners. Translational Pediatrics, 10(4), 1117–1137. AME Publishing Company. https://doi.org/10.21037/TP-20-320
Chait, F., Bahlouli, N., Chehrastane, R., Mrani Alaoui, N., Boughaleb, F., Zouheir, E. A., Tarik, E. M., Allali, N., El Haddad, S., & Chat, L. (2023). Clinical and radiological features in Poland syndrome: Report of 3 cases and review of literature. Global Pediatric Health, 10, 1–7. https://doi.org/10.1177/2333794X231219388
Fekih, M., Mansouri-Hattab, N., Bergaoui, D., Chaieb, A., Fikry, T., & Khairi, H. (2010). Correction of breast Poland’s anomalies: About eight cases and literature review. Annales de Chirurgie Plastique Esthétique, 55(3), 211–218. Elsevier Masson SAS. https://doi.org/10.1016/j.anplas.2009.06.003
Glass, G. E., Mohammedali, S., Sivakumar, B., Stotland, M. A., Abdulkader, F., Prosser, D. O., & Love, D. R. (2022). Poland-Möbius syndrome: A case report implicating a novel mutation of the PLXND1 gene and literature review. BMC Pediatrics, 22(1), 1–6. https://doi.org/10.1186/s12887-022-03803-3
Gui, L., Shen, S., & Mei, W. (2018). Anaesthesia for chest wall reconstruction in a patient with Poland syndrome: CARE-compliant case report and literature review. BMC Anesthesiology, 18(1), 1–4. https://doi.org/10.1186/s12871-018-0518-4
Kizilyel, F., Gunay, R., Rum, M., Yilmaz, M., & Ketenci, B. (2023). A rare coexistence: Poland’s syndrome and cardiac angiosarcoma. Journal of Cardiothoracic Surgery, 18(1), 1–4. https://doi.org/10.1186/s13019-023-02138-z
Marmesat Montes, A., & Cabal García, A. (2020). Poland syndrome: Presentation of a case. Semergen, 46(1), e7–e8. https://doi.org/10.1016/j.semerg.2019.10.004
Niraula, Z., Ghimire, P., Pokhrel, S., Ale Magar, S., Bajracharya, J., & Thapa, B. (2023). Incidental finding of Poland syndrome in a case of phimosis: A rare case report from Nepal. Annals of Medicine & Surgery, 85(3), 528–531. https://doi.org/10.1097/ms9.0000000000000215
Nudelman, H., Lőrincz, A., Lamberti, A. G., Kassai, T., & Józsa, G. (2023). A complex case of clino-syndactyly with fourth metacarpal aplasia. Life, 13(9), 1–9. https://doi.org/10.3390/life13091943
Pérez Dajaruch, M. de los Á., Ferrer Montoya, R., & Montero Aguilera, A. (2020). Síndrome de Poland: Reporte de un caso. Multimed. Revista Médica Granma, 24(2), 24–34. https://orcid.org/0000-0001-5063-7278
Sami, H., Kivan, H., Al Hussein, S., Khawar, A., & Ashraf, A. (2023). Left-sided Poland syndrome with no hand anomalies: A case report. Cureus, 15(3), e33192. https://doi.org/10.7759/cureus.33192
Santos, L. S., & González Rodríguez, M. A. P. (2008). Síndrome de Poland: Descripción de dos casos familiares. Anales de Pediatría, 69(1), 77–80. http://iier.isciii.es/er/prg/er_bus2.asp?cod_enf=2184
Shahi, P., Sehgal, A., Zafar, A., Sudan, A., & Moond, V. (2020). Brachysyndactyly in Poland syndrome. Cureus, 12(7), e9755. https://doi.org/10.7759/cureus.9755
Sharma, C. M., Kumar, S., Meghwani, M. K., & Agrawal, R. P. (2014). Poland syndrome. Indian Journal of Human Genetics, 20(1), 82–84. https://doi.org/10.4103/0971-6866.132764
Terán, C. G., & Antezana, A. N. (2018). Síndrome de Poland: Descripción de un caso en la sala de partos. Gaceta Médica Boliviana, 64(1), 56–59.
Turturro, F., Calderaro, C., Montanaro, A., Labianca, L., Argento, G., & Ferretti, A. (2014). Isolated asymptomatic short sternum in a healthy young girl. Case Reports in Radiology, 2014, 1–3. https://doi.org/10.1155/2014/761582
Wojtyś, M. E., Kordykiewicz, D., Wójcik, J., Tomos, P., & Kostopanagiotou, K. (2024). Consultations for Poland syndrome: The essentials for a thoracic surgeon. Medicina (Lithuania), 60(7), 1–9. https://doi.org/10.3390/medicina60071178
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Multidisciplinary Journal Epistemology of the Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
