Pediatric Necrotizing Pneumonia: A Case Report and Review of the Literature

Pediatric Emergency Care
Sriram RamgopalRichard A Saladino

Abstract

Necrotizing pneumonias occur infrequently in children but may be associated with significant morbidity. If not adequately treated, necrotizing pneumonia may lead to complications including bronchopleural fistula, empyema, respiratory failure, and septic shock. Staphylococcus aureus is the most commonly implicated agent, followed by Streptococcus pneumoniae. Antimicrobial treatment is the cornerstone of management, although surgical drainage may be required in some cases. We present the case of a 14-month-old child with fever and cough that persisted despite treatment with typical first-line oral antimicrobial therapy. An initial plain radiograph of the chest demonstrated lobar pneumonia. Ultimately, computed tomography of the chest revealed a cavitary lesion in the left upper lobe of the lung. We review the literature and describe the clinical presentation, diagnosis, microbiological etiology, and management of necrotizing pneumonia in children.

Citations

Jun 30, 2019·Pediatric Pulmonology·Fernando M de Benedictis, Ines Carloni
Mar 8, 2021·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Barbora FrybovaMichal Rygl
May 7, 2020·Journal of the American College of Radiology : JACR·UNKNOWN Expert Panel on Pediatric ImagingBoaz Karmazyn
Apr 14, 2020·Paediatrics and International Child Health·Augusta Aragão ArrudaMaria Fernanda Gomes
Aug 27, 2021·Clinical Practice and Cases in Emergency Medicine·Haley Vertelney, Margaret Lin-Martore
Oct 22, 2020·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·Catalina Bover-BauzaJoan Figuerola
Jul 21, 2021·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Manette Ness-CochinwalaBalagangadhar R Totapally

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