Abstract
Necrotizing pneumonia, rare complication of Community-acquired bacterial pneumonia (CABP), bear its own morbidity and mortality. Even though CABP generally respond well to the antibiotic treatment, but complications like empyema, necrotizing pneumonia with pneumatocoel formation (cavitary necrosis) supervene in mainly immune-compromised patient. Although cavitary necrosis is manifested as a severe disease, most children show complete recovery even without surgical treatment and have normal chest radiographs at long term. Some cases may required surgical intervention like tube thoracotomy or open thoracotomy. A case is presented of an infant that developed necrotizing pneumonia with pneumatocoel formation during treatment of bacterial pneumonia. Tube thoracotomy was performed due to conservative treatment failure.
Highlights
Necrotizing pneumonia (NP) is quite uncommon in children compare with adult age group, rare complication of pneumonia
NP lies on a spectrum between pulmonary abscess and pulmonary gangrene, and is accompanied frequently by empyema and bronchopleural fistulae (BPF)
The most common pathogens associated with NP in children are pneumococci and S. aureus
Summary
Necrotizing pneumonia (NP) is quite uncommon in children compare with adult age group, rare complication of pneumonia. It is characterized by progressive pneumonic illness in a previously healthy child despite appropriate antibiotic therapy, and runs a protracted clinical course[1]. The most common pathogens associated with NP in children are pneumococci and S. aureus This rare case reporting so far is the first of its kind published from Nepal. Ten months male infant from remote village area presented to local hospital with shortness of breath and fever for few days He was treated as community based bacterial pneumonia with intravenous antibiotics. She recovered well and repeat chest x-rays showed adequate chest expansion with some residual pneumonic consolidation for which oral antibiotics was prescribed
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