Abstract
Introduction: Necrotizing lung infections represent a wide spectrum of disease of varying severities. The etiology is numerous, but mostly results from aspiration. Definitive diagnosis of necrotizing lung infections is radiographic, but can often be difficult to distinguish between necrotizing pneumonia and pulmonary gangrene. While the backbone of therapy involves antibiotics, optimal timing of surgery for advanced disease is poorly documented and unclear in the literature. Case Report: We recently cared for a 50-year-old male who presented with and was subsequently admitted for treatment for necrotizing pneumonia. Conclusion: Medical management with antibiotics remain the backbone of treatment for necrotizing pneumonia. Surgical intervention remains reserved for treatment failure or advanced necrotizing disease.
Highlights
INTRODUCTIONLower respiratory diseases are the leading cause of morbidity and mortality worldwide [1]
Necrotizing lung infections represent a wide spectrum of disease of varying severities
Necrotizing lung infections constitute a wide spectrum of disease of varying severity from lung abscesses to necrotizing pneumonia to pulmonary gangrene
Summary
Lower respiratory diseases are the leading cause of morbidity and mortality worldwide [1]. Necrotizing lung infections constitute a wide spectrum of disease of varying severity from lung abscesses to necrotizing pneumonia to pulmonary gangrene These necrotizing infections are a sequela of pneumonia with indistinguishable features on onset, but have vastly different management patterns and clinical presentations [2]. Chest X-ray (CXR) noted a small pleural effusion on right lower lobe, and the patient was prescribed prednisone (six day course) with instructions for followup. Four days following this visit, the patient was seen by his primary care physician describing SOB, fatigue, and loss of appetite. Repeat CT with contrast revealed interval resolution of the consolidation and abscess with mild scarring remaining (Figure 3)
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