Necrotizing Pneumonia In Infant: Rare Complication of Community Acquired Pneumonia

Abstract

Necrotizing pneumonia, rare complication of Community-acquired bacterial pneumonia (CABP), bear its own morbidity and mortality. Even though CABP generally respond well to the antibiotic treatment, but complications like empyema, necrotizing pneumonia with pneumatocoel formation (cavitary necrosis) supervene in mainly immune-compromised patient. Although cavitary necrosis is manifested as a severe disease, most children show complete recovery even without surgical treatment and have normal chest radiographs at long term. Some cases may required surgical intervention like tube thoracotomy or open thoracotomy. A case is presented of an infant that developed necrotizing pneumonia with pneumatocoel formation during treatment of bacterial pneumonia. Tube thoracotomy was performed due to conservative treatment failure.

Tratamiento médico exitoso de neumonía necrotizante en un paciente pediátrico

“…Los objetivos son controlar y en última instancia revertir los cambios patobiológicos asociados con la NN. Las medidas empleadas incluyen proporcionar oxígeno suplementario para aliviar la hipoxia, un manejo adecuado del dolor para reducir el dolor pleurítico causado por la infección y mejorar la ventilación, administrar un ciclo prolongado de terapia con antibióticos y reducir cualquier efecto de masa o presión intratorácica al drenar el gas o el fluido intrapleural [8]. El tratamiento conservador se basa en la administración intravenosa (IV) de antibióticos.…”

An uncommon organism causing necrotizing pneumonia in a toddler

“…7 Unlike adults, children have low fatality rate, and deaths are uncommon despite the fact that they may require intensive care management. 8 Prevention of NP depends on reduction of incidence of community acquired pneumonia through improved nutritional status of the child 9 and by vaccinations. 10 In our case, the Pseudomonas was the organism isolated from BAL, which very uncommon organism is causing NP.…”

A Successful Medical Treatment of Necrotizing Pneumonia in a Pediatric Patient

“…The objectives are to control and ultimately reverse the pathobiologic changes associated with NP. These include providing supplemental oxygen to relieve hypoxia, adequate pain management to reduce pleuritic pain caused by the infection and improve ventilation, administering long course of antibiotic therapy, and decreasing any mass effect or intrathoracic pressure by draining gas and/or intrapleural fluid [ 8 ]. Conservative therapy relies on intravenous (IV) antibiotics.…”