E-ISSN 2367-699X | ISSN 2367-7414
 

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Pediatric Necrotizing Pneumonia: Case report and Overview of Conservative Treatment

Amina Selimovic, Ermina Mujic, Selma Milišic, Edo Hasanbegovic, Snjezana Hasanbegovic, Safet Mušanovic, Armin Šljivo.

Abstract
Necrotizing pneumonia in children is a rare and severe complication of bacterial community-acquired pneumonia. Main characteristics are a loss of normal lung parenchyma and formations of multiple thin-walled cavities filled with air or fluid. Treatment with antibiotics broad spectrum and pleural drainage is often enough, and children get fully recovered in 5-6 months after diagnosis.
The child was admitted to our clinic with 38.5 C and irritating cough, misdiagnosed and treated before as pneumonia. On the x-ray of the chest was left homogenous shade. Abdominal ultrasound showed locally pleural effusion. CT scan showed multilocular denser fluid encapsulated in left hemithorax and acted compressively to the mediastinum and suppresses it to the right. Laboratory findings indicate elevated erythrocyte sedation, leukocytopenia, thrombocytopenia, elevated serum amylase, lipase, amylase in thoracic drainage content, amylase in urine, also reduced values of haemoglobin, MCV, MCHC, urea, creatinine. We gave to patient meropenem and vancomycin. And patient after 24 hours became afebrile with 90 ml haemorrhagic content in a pleural drain. CRP was declining. The radiograph of the chest shows a re-expansion of the lungs with an elevated left diaphragm.
Necrotizing pneumonia can be successfully treated with antibiotics and pleural drainage without major surgical procedures.

Key words: pneumonia, lung infection, antibiotics, chest drainage


 
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How to Cite this Article
Pubmed Style

Amina Selimovic| Ermina Mujic| Selma Milišic| Edo Hasanbegovic| Snjezana Hasanbegovic| Safet Mušanovic| Armin Šljivo. Pediatric Necrotizing Pneumonia: Case report and Overview of Conservative Treatment. Int J Surg Med. 2019; 5(3): 169-171. doi:10.5455/ijsm.Pediatric-Necrotizing-Pneumonia


Web Style

Amina Selimovic| Ermina Mujic| Selma Milišic| Edo Hasanbegovic| Snjezana Hasanbegovic| Safet Mušanovic| Armin Šljivo. Pediatric Necrotizing Pneumonia: Case report and Overview of Conservative Treatment. http://www.ejos.org/?mno=296625 [Access: July 04, 2020]. doi:10.5455/ijsm.Pediatric-Necrotizing-Pneumonia


AMA (American Medical Association) Style

Amina Selimovic| Ermina Mujic| Selma Milišic| Edo Hasanbegovic| Snjezana Hasanbegovic| Safet Mušanovic| Armin Šljivo. Pediatric Necrotizing Pneumonia: Case report and Overview of Conservative Treatment. Int J Surg Med. 2019; 5(3): 169-171. doi:10.5455/ijsm.Pediatric-Necrotizing-Pneumonia



Vancouver/ICMJE Style

Amina Selimovic| Ermina Mujic| Selma Milišic| Edo Hasanbegovic| Snjezana Hasanbegovic| Safet Mušanovic| Armin Šljivo. Pediatric Necrotizing Pneumonia: Case report and Overview of Conservative Treatment. Int J Surg Med. (2019), [cited July 04, 2020]; 5(3): 169-171. doi:10.5455/ijsm.Pediatric-Necrotizing-Pneumonia



Harvard Style

Amina Selimovic| Ermina Mujic| Selma Milišic| Edo Hasanbegovic| Snjezana Hasanbegovic| Safet Mušanovic| Armin Šljivo (2019) Pediatric Necrotizing Pneumonia: Case report and Overview of Conservative Treatment. Int J Surg Med, 5 (3), 169-171. doi:10.5455/ijsm.Pediatric-Necrotizing-Pneumonia



Turabian Style

Amina Selimovic| Ermina Mujic| Selma Milišic| Edo Hasanbegovic| Snjezana Hasanbegovic| Safet Mušanovic| Armin Šljivo. 2019. Pediatric Necrotizing Pneumonia: Case report and Overview of Conservative Treatment. International Journal of Surgery and Medicine, 5 (3), 169-171. doi:10.5455/ijsm.Pediatric-Necrotizing-Pneumonia



Chicago Style

Amina Selimovic| Ermina Mujic| Selma Milišic| Edo Hasanbegovic| Snjezana Hasanbegovic| Safet Mušanovic| Armin Šljivo. "Pediatric Necrotizing Pneumonia: Case report and Overview of Conservative Treatment." International Journal of Surgery and Medicine 5 (2019), 169-171. doi:10.5455/ijsm.Pediatric-Necrotizing-Pneumonia



MLA (The Modern Language Association) Style

Amina Selimovic| Ermina Mujic| Selma Milišic| Edo Hasanbegovic| Snjezana Hasanbegovic| Safet Mušanovic| Armin Šljivo. "Pediatric Necrotizing Pneumonia: Case report and Overview of Conservative Treatment." International Journal of Surgery and Medicine 5.3 (2019), 169-171. Print. doi:10.5455/ijsm.Pediatric-Necrotizing-Pneumonia



APA (American Psychological Association) Style

Amina Selimovic| Ermina Mujic| Selma Milišic| Edo Hasanbegovic| Snjezana Hasanbegovic| Safet Mušanovic| Armin Šljivo (2019) Pediatric Necrotizing Pneumonia: Case report and Overview of Conservative Treatment. International Journal of Surgery and Medicine, 5 (3), 169-171. doi:10.5455/ijsm.Pediatric-Necrotizing-Pneumonia