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

Abstract

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.