Evolutionary Particularities in a Case of Severe Pneumonia in Children – Case Report

Ionescu, Marcela Daniela; Popescu, N; Balan, G.; Marcu, Veronica; Enculescu, Augustina; Vatra, Lorena; Oancea, Marcel; Bălgrădean, Mihaela

doi:10.26574/maedica.2018.13.1.61

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…Necrotizing pneumonia is a disease defined as the consolidation of a segment pulmonary with necrosis in your periphery forming multiple cavities in thin walls visible by CT Axial Tomography (TAC). THE initial presentation by chest X-ray may be in the form of empyema or pneumothorax (2,3).…”

Section: Introductionmentioning

confidence: 99%

Profile in Children Interned at the Hospital Pediatric David Bernardino (Angola) With Pneumonia Necrotizing in 2018

Gamboa¹,

Silvestre²,

Cardoso³

et al. 2022

JHS

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Introduction: The pneumonia necrotizing It is one illness defined as consolidation of a pulmonary segment with necrosis in its periphery with multiple cavities, walls thin visible for the Tomography Axial computerized. Objective: To describe the clinical, laboratory and imaging profile of children admitted to the David Bernardino Pediatric Hospital (Angola) with necrotizing pneumonia from February to October 2018. Methodology: Study prospective type series in cases accomplished in 18 children with ages understood in between two months and 14 years old in age. Were analyzed at variables age, sex, vaccination status, nutritional status, socio-economic level of country, disease duration before diagnosis, previous antibiotic therapy and results in exams in diagnosis, treatment, complications and state the exit. Results: The mean age was 39 months. Fever was present in 100% From cases, The difficulty respiratory in 94.4%, malnutrition moderate in 39% and anemia in 50% of cases. The erythrocyte sedimentation rate was in mean of 97 mm Hg in the 1st hour, the number of leukocytes of 36,100/mm3 and the length of stay of 39 days. Streptococcus pneumoniae was isolated in pleural fluid in 16.6% of cases, Staphylococcus aureus and Proteus mirabilis in 11.1% of cases. The most frequent complications were empyema with fistula (77%), empyema without fistula (15.5%) and Pyopneumothorax (7.5%). Conclusion: The diagnosis of necrotizing pneumonia must be considered in children who maintain a fever despite adequate treatment of pneumonia.

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Section: Introductionmentioning

confidence: 99%

Profile in Children Interned at the Hospital Pediatric David Bernardino (Angola) With Pneumonia Necrotizing in 2018

Gamboa¹,

Silvestre²,

Cardoso³

et al. 2022

JHS

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“…2 NP can occur in any lobe, but lower lobe involvement is more common. 3,4 NP was previously believed to be rare in children but there has been an increase in the number of reports in the last two decades. 5 The most common organisms implemented are Staphylococcus aureus and Streptococcus pneumoniae.…”

Section: Introductionmentioning

confidence: 99%

An uncommon organism causing necrotizing pneumonia in a toddler

Reka

Arunagirinathan

Chandrasekaran

et al. 2021

Int J Contemp Pediatr

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Necrotizing pneumonia (NP) is an uncommon complication of bacterial pneumonia in children, which must be looked into if a severe pneumonia has poor response to recommended antibiotics. The present case is a toddler with NP in whom fever and cough persisted despite treatment with first-line antimicrobial therapy, computed tomography (CT) scan revealed consolidation with multiple cavities, pseudomonas aeruginosa was the pathogen isolated from bronchoalveolar lavage, which a very uncommon organism is causing NP. Community acquired necrotizing pneumonia caused by pseudomonas is not reported in paediatric population. Hence, we report this case.

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Evolutionary Particularities in a Case of Severe Pneumonia in Children – Case Report

Abstract: Necrotizing pneumonia remains an uncommon complication of pneumonia in children, but its incidence is increasing. Pneumococcal infection is

Cited by 2 publications

References 12 publications

Profile in Children Interned at the Hospital Pediatric David Bernardino (Angola) With Pneumonia Necrotizing in 2018

Profile in Children Interned at the Hospital Pediatric David Bernardino (Angola) With Pneumonia Necrotizing in 2018

An uncommon organism causing necrotizing pneumonia in a toddler

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