[Necrotizing pneumonia in children: apropos of 4 cases].
OBJECTIVE
To describe the necrotizing pneumonia in children, a severe affection which prevalence seems to increase; to review literature.


METHODS
We report 4 cases of necrotizing pneumonia: symptoms, agents, diagnostic tools, treatment and long term evolution.


RESULTS
In 2 cases, pneumatoceles could be seen at chest X-ray. Two patients presented a deficiency of anti-pneumococcal antibodies. Three needed insertion of a pleural chest tube of whom 1 had a resection of a small piece of necrotic lung. Duration of hospitalisation is longer than in uncomplicated pneumonias.


CONCLUSIONS
Necrotizing pneumonia is a severe affection. Diagnosis has to be made by lung CT. Long term evolution is excellent in pediatric population with serious management at hospital.
Schadeck
T
T
Service de pédiatrie et de pneumologie de l'enfant, clinique universitaire de Mont-Godinne, université catholique de Louvain, avenue G.-Thérasse-1, 5530 Yvoir, Belgique.
Beckers
D
D
Eucher
P
P
de Bilderling
G
G
Tuerlinckx
D
D
Bodart
E
E
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D004322:Drainage; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D009336:Necrosis; D018410:Pneumonia, Bacterial / Q000382:microbiology / Q000473:pathology* / Q000628:therapy
D000900:Anti-Bacterial Agents