Massive Necrotizing Pneumonia With Pulmonary Gangrene

Chen, Chih‐Hao; Huang, Wen‐Chien; Chen, Tung-Ying; Hung, Tzu-Ti; Liu, Hung-Chang; Chen, Chao-Hung

doi:10.1016/j.athoracsur.2008.05.077

Cited by 20 publications

(11 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Patients with lung gangrene unresponsive to medical therapy have been successfully treated with surgical resection [2,4,6]. When necrotizing pneumonia is extensive or complicated, and medical management is insufficient, surgical treatment has been shown to be the most successful approach [8].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Treatment of 26 Patients with Necrotizing Pneumonia

Tsai¹,

Tsai²,

2011

Eur Surg Res

View full text Add to dashboard Cite

Background: This study aimed to review the outcome of patients treated with surgical resection for necrotizing lung infection with various co-morbidities and complications. Methods: The records of 26 patients treated with pulmonary resection for necrotizing pneumonia between July 2004 and January 2010 were retrospectively reviewed. Surgical procedures included large wedge resection (n = 1), lobectomy (n = 19) and bilobectomy (n = 6). Results: The study cohort consisted of 21 men and 5 women aged 35–85 years (mean 64.7 ± 15.0 years). Twenty-three (88.5%) patients had underlying risk factors. At surgical consultation, 17 patients presented with progressive respiratory distress; 6 required ventilatory support; 12 had empyema, and in 5 patients the conditions were complicated by bronchopleural fistula. Four patients had septic shock requiring vasopressor support. Three patients developed hemoptysis. Two patients had bilateral diffuse pneumonia. Klebsiella pneumoniaeand Streptococcusviridans were the most common pathogens. The right lower (n = 13) and right middle lobes (n = 10) were the most frequently affected. Four deaths (15.4%) occurred: 3 due to perioperative progressing pulmonary infection/inflammation and 1 due to hepatorenal failure. Postoperative empyema occurred in 3 patients. One patient became ventilator dependent. Conclusion: Pulmonaryresection for necrotizing pneumonia is a feasible treatment option in patients with progressive pulmonary sepsis.

show abstract

Section: Discussionmentioning

confidence: 99%

“…If antibiotics fail to reach the infected tissue, parenchymal destruction may progress and infection may persist, possibly resulting in bronchopleural fistula, life-threatening hemoptysis, empyema and septic shock. Aggressive resection of the necrotic pulmonary parenchyma has been considered lifesaving in these cases [1,2,3,4]. …”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of 26 Patients with Necrotizing Pneumonia

Tsai¹,

Tsai²,

2011

Eur Surg Res

View full text Add to dashboard Cite

show abstract

“…Early in the disease course, necrotizing pneumonia typically appears as consolidation on the chest radiograph [2]. Although chest X-ray is helpful in the diagnosis of necrotizing pneumonia, contrast-enhanced chest CT is the standard procedure in making the diagnosis especially at the onset of disease [7]. As in our case, pneumonic consolidation with multiple areas of necrotic low attenuation on CT is suggestive of necrotizing pneumonia.…”

Section: Picturementioning

confidence: 80%

Masif Hemoptizi Etyolojisinde Nekrotizan Pnömoni: Olgu sunumu

Bozkuş¹

2016

J Contemp Med

View full text Add to dashboard Cite

“…Extent of resection is according to the involved lung tissues with normal lung spared. [4] Gross appearance of gangrenous lung may be from densely fibrotic (Figure 3) to very fragile with foul smell. (Figure 4) Fig.…”

Section: Surgical Treatmentmentioning

confidence: 99%

“…(Table 1) For example, uncontrolled diabetes is a risk factor of severe lung infection, especially caused by Klebsiella pneumonia. [4] Inadequate blood flow usually resulted in necrosis, bacterial overgrowth and abscess formation. Gangrenous change indicates tissues necrosis followed by decomposition of tissues into a slough.…”

Section: Introductionmentioning

confidence: 99%