Pneumonectomy in a Child with Multilobar Pneumatocele Secondary to Necrotizing Pneumonia: Case Report and Review of the Literature
Joint Authors
Gerdung, Christopher A.
Ross, B. Catherine
Dicken, Bryan J.
Bjornson, Candice L.
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-07-17
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Community-acquired pneumonia (CAP) is common within pediatrics and contributes disproportionately to morbidity and mortality.
Necrotizing pneumonia is a well-documented complication of CAP.
It is thought to be caused by necrosis and liquefaction of consolidated lung and can result in damage to lung parenchyma, including pneumatocele development.
Management of necrotizing pneumonia with pneumatocele may include hospitalization, intensive care unit admission, and lengthy antibiotic courses.
Severe cases may need invasive procedures.
Case Presentation.
We present a case of severe necrotizing pneumonia requiring prolonged venovenous extracorporeal membrane oxygenation (V-V ECMO) with development of persistent pneumatoceles, requiring pneumonectomy while on ECMO support to allow for decannulation and extubation.
Conclusions.
In critically ill patients with extensive unilateral necrotizing pneumonia with pneumatocele development, surgical intervention can be considered when attempts to wean ventilation have been unsuccessful.
This case provides evidence that V-V ECMO and pneumonectomy is a viable salvage therapy in the most critically unwell children.
American Psychological Association (APA)
Gerdung, Christopher A.& Ross, B. Catherine& Dicken, Bryan J.& Bjornson, Candice L.. 2019. Pneumonectomy in a Child with Multilobar Pneumatocele Secondary to Necrotizing Pneumonia: Case Report and Review of the Literature. Case Reports in Pediatrics،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1143647
Modern Language Association (MLA)
Gerdung, Christopher A.…[et al.]. Pneumonectomy in a Child with Multilobar Pneumatocele Secondary to Necrotizing Pneumonia: Case Report and Review of the Literature. Case Reports in Pediatrics No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1143647
American Medical Association (AMA)
Gerdung, Christopher A.& Ross, B. Catherine& Dicken, Bryan J.& Bjornson, Candice L.. Pneumonectomy in a Child with Multilobar Pneumatocele Secondary to Necrotizing Pneumonia: Case Report and Review of the Literature. Case Reports in Pediatrics. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1143647
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143647