Pyopneumothorax in Necrotizing Pneumonia With Bronchopleural Fistula

2022 ◽  
pp. 101-112
Author(s):  
Marchetti Giampietro ◽  
Sorino Claudio ◽  
Negri Stefano ◽  
Pinelli Valentina
2020 ◽  
Vol 8 (8) ◽  
Author(s):  
Allen Widysanto ◽  
Maranatha Liem ◽  
Karina Dian Puspita ◽  
Cindy Meidy Leony Pradhana

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Ahmed F. Alohali ◽  
Saleh Abu-Daff ◽  
Kamardeen Alao ◽  
Mohammed Almaani

Managing mechanical ventilation in patient with bronchopleural fistula with coexisting acute respiratory distress syndrome is a challenging situation for the intensivist. We are reporting a case of a pregnant patient with systemic lupus erythematosus on immunosuppressive medications who developed methicillin-resistant Staphylococcus aureus necrotizing pneumonia complicated by bronchopleural fistula and acute respiratory distress syndrome.


Chest Imaging ◽  
2019 ◽  
pp. 191-195
Author(s):  
Sonia L. Betancourt

Pneumonia refers to acute inflammation of the lower respiratory tract and lung parenchyma. Community Acquired Pneumonia (CAP) refers to pneumonia acquired outside of hospitals or long-term care facilities in patients without known inherited or acquired immunodeficiency or active cancer or within 48 hours after hospital admission. Chest radiographic demonstration of airspace disease helps support the diagnosis in the appropriate clinical setting. Patients with CAP are treated with antibiotics regardless of chest radiography findings. Further evaluation with Computed tomography (CT), bronchoscopy, pleural fluid analysis, etc., are reserved for patients that do not respond to treatment or in whom complications are suspected. CT is useful in assessing complications such as empyema, bronchopleural fistula, abscess, and necrotizing pneumonia. Lung abscesses and empyema are frequently associated with aspiration pneumonia.


2020 ◽  
Vol 66 (6) ◽  
pp. 637-644
Author(s):  
Pradeep Kumar Sharma ◽  
Nikhil Vinayak ◽  
Girraj K Aggarwal ◽  
R D Srivastava ◽  
Pradeep Kumar Aggarwal ◽  
...  

Abstract Objective Necrotizing pneumonia (NP) is recently recognized as a complication of pneumonia. The data on NP are scant from developing world and we aimed to describe the characteristic features of NP in our children. Study design Single center retrospective cohort analysis. Patient selection Institutional database of children treated for pneumonia between September 2014 and May 2018 was searched to identify children with NP. Methods The demographic characteristics, laboratory results, and clinical information were recorded for patients selected as NP and analyzed. Results In total, 10 patients (3.7%) of NP were identified out of 272 patients with pneumonia. Median age was 3 years (range: 3 months to 12years). All cases had severe respiratory distress and 70% required mechanical ventilation and inotropic support. The causative pathogens were identified in 6/10 children (60%) with Staphylococcus aureus being most common (4/10). Pleural effusion and pneumothorax were seen in six cases. Four cases had bilateral pleural effusion and three had bilateral pneumothorax. Intercostal drainage (ICD) was placed in 70% and bilateral ICD was placed in 40% cases. Bronchopleural fistula (BPF) developed in two cases and one had bilateral BPF. Median [inter quartile range] ICD days and hospital stay were 9 (6–14) and 13.5 (7.5–18.5) days, respectively. Mean (±SD) total antibiotic (in hospital plus outpatient) days were 28.8 ± 9.6 days. Four cases had airway hemorrhage and in three cases this was massive and fatal. Conclusion NP is a relatively rare but severe complication of pneumonia distinct from pediatric acute respiratory distress, pleural effusion and empyema. Airway hemorrhage is the most fatal complication.


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