طفلة عمرها ٩ سنوات بفقر الدم المنجلي، عندها ألم صدر وحرارة ٣٨٫٦ وكحة، والتشبع نزل إلى ٨٩٪، والأشعة تظهر ارتشاحاً جديداً. ما الحالة؟

A 9-year-old girl with sickle cell disease has chest pain, fever 38.6 °C and cough; SpO2 falls to 89% and X-ray shows a new infiltrate. What is the condition?

1. Muscle pain from coughing only
2. Acute chest syndrome
3. A mild usual asthma attack
4. Simple viral sore throat

Answer: B) Acute chest syndrome. Acute chest syndrome is a serious sickle complication: chest pain, fever, hypoxia and a new infiltrate. It needs oxygen, antibiotics, analgesia, incentive spirometry and sometimes transfusion.