Kurtz J, Maloney C, Eastman T, Lowery E. Successful Medical Management of Pulmonary Gangrene in a Transplanted Lung.
Transplant Proc 2024:S0041-1345(24)00519-0. [PMID:
39489656 DOI:
10.1016/j.transproceed.2024.10.025]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Accepted: 10/03/2024] [Indexed: 11/05/2024]
Abstract
Pulmonary gangrene (PG) is a potentially devastating complication of necrotizing pneumonia. We describe successful nonsurgical management of PG in a lung transplant recipient. The patient presented with symptoms and imaging consistent with pneumonia. Bronchoalveolar lavage cultures demonstrated polymicrobial growth and antibiotic treatments were tailored. Imaging demonstrated a large cavitary lesion with intracavitary lung tissue consistent with PG. Prolonged antibiotic therapy resulted in clinical improvement and radiographic resolution.
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