Necrotizing pneumonia complicated by early and late pneumatoceles.
Community-acquired pneumonia generally has a benign course when treated, but can be complicated by pleural effusion, empyema, lung abscesses, necrotizing pneumonia or pneumatoceles. Pneumatoceles can cause cardiorespiratory compromise requiring urgent intervention. A child with a severe necrotizing pneumonia, as well as a large early pneumatocele complicating mechanical ventilation, is presented. While pneumonectomy resulted in transient improvement, the course was further complicated by multiple late occurring pneumatoceles that ultimately led to the patient's death.
Al-Saleh
Suhail
S
Division of Respiratory Medicine, Hospital for Sick Children, Toronto, Ontario, Canada. suhail.al-saleh@sickkids.ca
Grasemann
Hartmut
H
Cox
Peter
P
D002675:Child, Preschool; D017714:Community-Acquired Infections; D003560:Cysts / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006612:High-Frequency Ventilation; D006801:Humans; D008171:Lung Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D009336:Necrosis; D011013:Pneumonectomy; D011014:Pneumonia / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D012008:Recurrence; D014057:Tomography, X-Ray Computed