title: Necrotizing pneumococcal pneumonia in childhood.
abstract: We describe the rare complication of necrotizing pneumonia and invasive pneumococcal infection in 3 previously healthy pediatric patients. Lobar consolidation and pleural effusions appeared initially, followed within several days by the appearance of multiple small lucencies in the area of consolidation. In one case, necrosis progressed to a large abscess cavity. Surgical intervention was limited to treatment of pleural space complications. There were no deaths. Pulmonary parenchymal residual was limited to a thin-walled cavity in one case.
authors.affiliation: Department of Pediatrics, University of Tennessee Medical Center-Knoxville 37920-6999, USA. vmccarth@mc.utmck.edu
authors.forename: V P
authors.initials: VP
authors.lastname: McCarthy
authors.forename: P
authors.initials: P
authors.lastname: Patamasucon
authors.forename: T
authors.initials: T
authors.lastname: Gaines
authors.forename: M A
authors.initials: MA
authors.lastname: Lucas
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008169:Lung Abscess / Q000209:etiology / Q000628:therapy; D009336:Necrosis; D011018:Pneumonia, Pneumococcal / Q000150:complications / Q000473:pathology* / Q000628:therapy; D016133:Polymerase Chain Reaction
chemical_list: D000900:Anti-Bacterial Agents