Hydropneumothorax as a complication of necrotizing pneumonia in a young girl

Abstract

Bronchopleural fistula with subsequent hydropneumothorax is an important complication of necrotizing pneumonia. Chest X‐ray is an excellent diagnostic tool which can suggest hydropneumothorax. When present, this requires admission for drainage. If discharged after necrotizing pneumonia, follow‐up should include a chest X‐ray to rule out this complication.

Invasive Pulmonary Aspergillosis with Hydropneumothorax in a Patient Taking High-Dose Glucocorticoids

“…Hydropneumothorax is formed by free fluid and air entering the pleural space. Hydropneumothorax is commonly associated with malignancy, chest trauma (including chest tube placement or after thoracentesis), rheumatologic diseases that affect lung parenchyma, and pulmonary infections [ 12 ]. In this case, hydropneumothorax developed due to IPA, an infectious process.…”

Conservative management of hydropneumothorax in a 4-year-old child with pneumonia

“…Hydropneumothorax is an uncommon complication of pneumonia characterized by the accumulation of fluid and air within the pleural space, thought to result from an air leak through necrotic lung parenchyma. 1 The few pediatric cases reported have been managed with chest tube insertion until resolution, requiring a prolonged hospital stay. 1,2 We considered that, because our patient was clinically well, close follow-up was low risk compared to chest tube insertion.…”

“…1 The few pediatric cases reported have been managed with chest tube insertion until resolution, requiring a prolonged hospital stay. 1,2 We considered that, because our patient was clinically well, close follow-up was low risk compared to chest tube insertion. Risks of chest tube insertion in children include those associated with sedation and anesthesia, pain, development of bronchopleural fistula, and prolonged hospital stay.…”