Necrotizing pneumonia
Keywords:
necrotizing pneumonia, thoracotomyAbstract
A male patient of 44 years old with a personal pathological history of arterial hypertension. He was admitted for extrahospital pneumonia of right base, it was indicated antibiotic treatment and the evolution was favorable. After 15 days he was re-admitted because he had worsened, it was performed a computerized axial tomography of high-resolution of the thorax that reported, at the level of the lung bases, several bilateral and peripheral hyperdense images that took on nodular shape, in intimate contact with the pleura, with central cavitation. A tumor etiology was considered and a thoracotomy was performed; samples of the pleura and lung were taken for biopsy. At the autopsy, necrotizing pneumonia was found in resolution phase and a bilateral pulmonary thromboembolism of thick branches.Downloads
References
1. Chatha N, Fortin D, Bosma KJ. Management of necrotizing pneumonia and pulmonary gangrene: A case series and review of the literature. Can Respir J [Internet]. 2014 Jul-Ago [citado 15 Oct 2017];21(4):239-245. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173892/
2. Norte A, Santos C, Gamboa F, Ferreira J, Marques A, Leite C, et al. Pneumonia Necrotizante: Uma Complicação Rara. Acta Med Port [Internet]. 2012 Ene-Feb [citado 15 Oct 2017];25(1):51-55. Disponible en: https://actamedicaportuguesa.com/revista/index.php/amp/article/viewFile/7/20
3. Hernando Gómez C, Perilla AM, González C, Valderram SL, Vanegas N, Chavarro B, et al. Neumonía necrosante por Staphylococcus aureus extrahospitalario resistente a la meticilina: reporte de dos casos en Colombia. Biomédica [Internet]. 2009 Oct-Dic [citado 10 Nov 2017];29(4):523-30. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-41572009000400005
4. Abreu Suárez D, González Yara DR, Fuentes Fernández D. Efectividad terapéutica de la amoxicilina en la neumonía adquirida en la comunidad en edades pediátricas. Rev Cubana Pediatr [Internet]. 2017 [citado 10 Nov 2017];89(supl):[aprox. 12p.]. Disponible en: http://www.revpediatria.sld.cu/index.php/ped/article/view/116/98
5. Wainshtok Tomás DM, Herrera Wainshtok AC, Pulido Prieto YL, Padilla Docal B, Crespo Domínguez F, Cárdenas Almagro AS. Abscesos pulmonares múltiples. Presentación de un caso. Rev Hab Cienc Med [Internet]. 2014 Mar-Abr [citado 10 Nov 2017];13(2):178-86. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729-519X2014000200003
6. Vedia L, Lista N, Piovano G, Akkauy VA, Rodríguez A, Eusebio MA, Cisneros JC, Prieto R. Staphilococcus aureus meticilino resistente adquirido en la comunidad: una nueva amenaza. Rev Amer Med Respiratoria [Internet]. 2012 Oct-Dic [citado 15 Nov 2017];12(4):131-39. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1852-236X2012000400001
7. Rojo Enríquez A, Videgaray Ortega F, Raffoul Cohen I. Neumonía necrotizante hemorrágica y SARM-AC como causa emergente. Acta Médica Grupo Ángeles [Internet]. 2011 Jul-Sep [citado 15 Nov 2017];9(3):[aprox. 6p.]. Disponible en: http://www.medigraphic.com/pdfs/actmed/am-2011/am113e.pdf
8. Campos FPF, Felipe-Silva A, Lopes ACFMM, et al. Community-acquired pseudomonas aeruginosa-pneumonia in a previously healthy man occupationally exposed to metalworking fluids. Autops Case Rep [Internet]. 2014 Jul-Sep [citado 15 Nov 2017];4(3):31-7. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5444396/
9. Chatha N, Fortin D, Bosma KJ. Management of necrotizing pneumonia and pulmonary gangrene: A case series and review of the literature. Can Respir J [Internet]. 2014 Jul-Ago [citado 20 Nov 2017];21(4):239-45. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173892/
10. Bahceci Erdema S, Nacaroglua HT, Isgüderb R, Unsal Karkinera CS, Alperc H, Cana D, et al. Complicaciones pulmonares de la neumonía química. A propósito de un caso. Arch Argent Pediatr [Internet]. 2016 [citado 20 Nov 2017];114(4):245-48. Disponible en: http://www.scielo.org.ar/pdf/aap/v114n4/v114n4a22.pdf
11. Tsai YF, Ku YH. Necrotizing pneumonia: a rare complication of pneumonia requiring special consideration. Curr Opin Pulm Med. 2012 May;18(3):246-52. Doi: 10.1097/MCP.0b013e3283521022.
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms:
- Authors will retain their copyright and assign to the journal the right of first publication of their work, which will simultaneously be subject to a Creative Commons License / Attribution-Noncommercial 4.0 International (CC BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
- Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g., depositing it in an institutional repository or publishing it in a monographic volume) as long as the initial publication in this journal is indicated.
- Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which can produce interesting exchanges and increase citations of the published work. (See The effect of open access).
15 junio 2025
