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Pérez Bazaga LJ, Ávila Sansegundo C, Santiago Triviño MÁ. Lung ultrasound: Lung abscess secondary to necrotizing pneumonia. Med Intensiva 2024; 48:244-245. [PMID: 37985337 DOI: 10.1016/j.medine.2023.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2023]
Affiliation(s)
- L J Pérez Bazaga
- Unidad de Medicina Intensiva del Hospital Universitario de Badajoz, Badajoz, Spain.
| | - C Ávila Sansegundo
- Unidad de Medicina Intensiva del Hospital Universitario de Badajoz, Badajoz, Spain
| | - M Á Santiago Triviño
- Unidad de Medicina Intensiva del Hospital Universitario de Badajoz, Badajoz, Spain
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2
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Cathalau M, Michelet M, Rancé A, Martin-Blondel G, Abbo O, Dubois D, Labouret G, Grouteau E, Claudet I, Ricco L, Roditis L, Mansuy JM, Simon S, Bréhin C. Necrotizing pneumonia in children: Report of 25 cases between 2008 and 2018 at a French tertiary care center. Arch Pediatr 2024; 31:183-187. [PMID: 38485569 DOI: 10.1016/j.arcped.2023.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 11/21/2023] [Accepted: 12/30/2023] [Indexed: 04/07/2024]
Abstract
BACKGROUND Necrotizing pneumonia (NP) is a serious and rare disease in children. Pediatric data on NP are limited and the impact of the 13-valent pneumococcal conjugate vaccine has been very poorly evaluated. PATIENTS AND METHODS We conducted a retrospective study at Toulouse University Hospital between 2008 and 2018. Children who presented with thin-walled cavities in the areas of parenchymal consolidation on imaging were included in the study. RESULTS The incidence of NP did not decrease during this period. Bacterial identification occurred in 56% of cases (14/25) and included six cases of Streptococcus pneumoniae, five of Staphylococcus aureus, two of Streptococcus pyogenes, and one of Streptococcus viridans. Streptococcus pneumoniae NP are more frequently associated with empyema/parapneumonic effusion compared to S. aureus NP (p = 0.02). Patients with S. pyogenes NP more often required volume expansion than did S. pneumoniae cases (p = 0.03). When comparing children born before and after implementation of the 13-valent pneumococcal conjugate vaccine, we identified a relative modification of the bacterial epidemiology, with an increase in the proportion of S. pyogenes NP and S. aureus NP and a decrease in the proportion of NP caused by S. pneumoniae. CONCLUSION Future studies are needed to assess the epidemiology of NP in children. Continued surveillance of identified pneumococcal serotypes is essential to document epidemiological changes in the coming years.
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Affiliation(s)
- Manon Cathalau
- Children's Hospital, University Hospital Center of Toulouse, 330 avenue de Grande Bretagne, 31300, Toulouse, France
| | - Marine Michelet
- Pediatric Pneumology Department, University Hospital Center of Toulouse, 330 avenue de Grande Bretagne, 31300, Toulouse, France
| | - Aurélien Rancé
- Pediatric Pneumology Department, University Hospital Center of Toulouse, 330 avenue de Grande Bretagne, 31300, Toulouse, France
| | - Guillaume Martin-Blondel
- Infectious Diseases Department, University Hospital Center of Toulouse, 330 avenue de Grande Bretagne, 31300, Toulouse, France
| | - Olivier Abbo
- Infantile Visceral Surgery Department, University Hospital Center of Toulouse, 330 avenue de Grande Bretagne, 31300, Toulouse, France
| | - Damien Dubois
- Federal Institute of Biology, Bacteriology unit, University Hospital Center of Toulouse, 330 avenue de Grande Bretagne, 31300, Toulouse, France
| | - Géraldine Labouret
- Pediatric Pneumology Department, University Hospital Center of Toulouse, 330 avenue de Grande Bretagne, 31300, Toulouse, France
| | - Erick Grouteau
- General Pediatrics Unit, University Hospital Center of Toulouse, 330 avenue de Grande Bretagne, 31300, Toulouse, France
| | - Isabelle Claudet
- Pediatric Emergency Care Unit, University Hospital Center of Toulouse, 330 avenue de Grande Bretagne, 31300, Toulouse, France
| | - Lucas Ricco
- General Pediatrics Unit, University Hospital Center of Toulouse, 330 avenue de Grande Bretagne, 31300, Toulouse, France
| | - Léa Roditis
- Pediatric Pneumology Department, University Hospital Center of Toulouse, 330 avenue de Grande Bretagne, 31300, Toulouse, France
| | - Jean-Michel Mansuy
- Federal Institute of Biology, Virology unit, University Hospital Center of Toulouse, 330 avenue de Grande Bretagne, 31300, Toulouse, France
| | - Sophie Simon
- Pediatric Radiology Department, University Hospital Center of Toulouse, 330 avenue de Grande Bretagne, 31300, Toulouse, France
| | - Camille Bréhin
- General Pediatrics Unit, University Hospital Center of Toulouse, 330 avenue de Grande Bretagne, 31300, Toulouse, France.
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Piastra M, Paradiso FV, Nanni L, Gualtieri R, Ferrari V, Picconi E, Morena TC, Conti G, De Rosa G. Transient heart tamponade by bullous necrotizing pneumonia. Pediatr Pulmonol 2024; 59:215-217. [PMID: 37830519 DOI: 10.1002/ppul.26724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Accepted: 09/25/2023] [Indexed: 10/14/2023]
Affiliation(s)
- Marco Piastra
- Pediatric ICU, IRCCS, Policlinico Universitario A.Gemelli, Rome, Italy
- Institute of Anesthesia and Intensive Care, Catholic University, Rome, Italy
| | | | - Lorenzo Nanni
- Pediatric Surgery, IRCCS, Policlinico Universitario A.Gemelli, Rome, Italy
| | - R Gualtieri
- Neonatal ICU, Cosenza General Hospital, Cosenza, Italy
| | - Vittoria Ferrari
- Institute of Anesthesia and Intensive Care, Catholic University, Rome, Italy
| | - Enzo Picconi
- Pediatric ICU, IRCCS, Policlinico Universitario A.Gemelli, Rome, Italy
| | | | - Giorgio Conti
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy
| | - G De Rosa
- Pediatric Cardiology, IRCCS, Policlinico Universitario A.Gemelli, Rome, Italy
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Mahendran AJ, Gupta N, Khurana R. Collapse vs Necrotizing Pneumonia: Clinical and Radiological Perspective. Chest 2022; 162:e149. [PMID: 36088102 DOI: 10.1016/j.chest.2022.03.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Accepted: 03/16/2022] [Indexed: 11/21/2022] Open
Affiliation(s)
- A J Mahendran
- Department of Pulmonary, Critical Care and Sleep Medicine, Safdarjung Hospital, Delhi, India.
| | - Nitesh Gupta
- Department of Pulmonary, Critical Care and Sleep Medicine, Safdarjung Hospital, Delhi, India
| | - Rajat Khurana
- Department of Radiology, the Vardhman Mahavir Medical College and Safdarjung Hospital Ringgold Standard Institution, Delhi, India
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5
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Takigawa Y, Fujiwara K, Saito T, Nakasuka T, Ozeki T, Okawa S, Takada K, Iwamoto Y, Kayatani H, Minami D, Sato K, Nagao M, Shibayama T. Rapidly Progressive Multiple Cavity Formation in Necrotizing Pneumonia Caused by Community-acquired Methicillin-resistant Staphylococcus aureus Positive for the Panton-Valentine Leucocidin Gene. Intern Med 2019; 58:685-691. [PMID: 30333405 PMCID: PMC6443543 DOI: 10.2169/internalmedicine.1454-18] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
A 66-year-old man was transferred to our hospital for pneumonia that was resistant to sulbactam/ampicillin and levofloxacin therapy. Chest computed tomography showed the rapidly progressive formation of multiple cavities. Methicillin-resistant Staphylococcus aureus (MRSA) was isolated, and the patient was diagnosed with necrotizing pneumonia caused by community-acquired MRSA (CA-MRSA). The MRSA strain had type IV staphylococcus cassette chromosome mec and genes encoding Panton-Valentine leucocidin (PVL). CA-MRSA necrotizing pneumonia with the PVL gene is rare; only three cases have been previously reported in Japan. We administered anti-MRSA antibiotics and the patient achieved complete clinical and radiological improvement.
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Affiliation(s)
- Yuki Takigawa
- Department of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Japan
| | - Keiichi Fujiwara
- Department of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Japan
| | - Takashi Saito
- Department of Infectious Diseases, National Hospital Organization Okayama Medical Center, Japan
| | - Takamasa Nakasuka
- Department of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Japan
| | - Taichi Ozeki
- Department of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Japan
| | - Sachi Okawa
- Department of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Japan
| | - Kenji Takada
- Department of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Japan
| | - Yoshitaka Iwamoto
- Department of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Japan
| | - Hiroe Kayatani
- Department of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Japan
| | - Daisuke Minami
- Department of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Japan
| | - Ken Sato
- Department of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Japan
| | - Miki Nagao
- Department of Clinical Laboratory, Kyoto University Hospital, Japan
| | - Takuo Shibayama
- Department of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Japan
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Saliba M, Lebrun F, Lewin M, Pierart F, Thimmesch M. [Image of the month : A pediatric case of necrotizing pneumoniae]. Rev Med Liege 2018; 73:111-113. [PMID: 29595008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- M Saliba
- Service de Pédiatrie, Université de Liège, Belgique
| | - F Lebrun
- Département de Pédiatrie, CHC Liège, Clinique de l'Espérance, Liège, Belgique
- Service des Soins intensifs pédiatriques, CHC Liège, Clinique de l'Espérance, Liège, Belgique
| | - M Lewin
- Service d'Imagerie médicale, CHC Liège, Clinique de l'Espérance, Liège, Belgique
| | - F Pierart
- Département de Pédiatrie, CHC Liège, Clinique de l'Espérance, Liège, Belgique
- Secteur de Pneumologie pédiatrique, CHC Liège, Clinique de l'Espérance, Liège, Belgique
| | - M Thimmesch
- Département de Pédiatrie, CHC Liège, Clinique de l'Espérance, Liège, Belgique
- Secteur de Pneumologie pédiatrique, CHC Liège, Clinique de l'Espérance, Liège, Belgique
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7
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Ooi SY, Lee SW. Necrotising pneumonia: A pneumonia that may need surgical intervention. Med J Malaysia 2017; 72:367-369. [PMID: 29308776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Pneumonia is primarily a disease that is usually managed medically with antibiotics. However, in rare cases it may progress to necrotising pneumonia, which is an uncommon but severe complication of bacterial pneumonia. This case illustrates a typical case of necrotising pneumonia complicated with parenchymal and pleural complication such as empyema, pneumothorax with possible bronchopleural fistula. Early consultation with thoracic surgeon can be life-saving.
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Affiliation(s)
- S Y Ooi
- Hospital Langkawi, Department of Medicine, Kedah, Malaysia.
| | - S W Lee
- Hospital Langkawi, Department of Medicine, Kedah, Malaysia
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Leong CL, Norazah A, Azureen A, Lingam R. Community-acquired necrotising pneumonia caused by Panton-Valentine leucocidin-producing methicillin-resistant Staphylococcus aureus. Med J Malaysia 2017; 72:378-379. [PMID: 29308781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
A 61-year-old male presented with community-onset pneumonia not responding to treatment despite given appropriate antibiotics. Computed tomography scan of the thorax showed large multiloculated pleural effusion with multiple cavitating foci within collapsed segments; lesions which were suggestive of necrotising pneumonia. Drainage of the effusion and culture revealed methicillin-resistant Staphylococcus aureus, which had the same antibiotic profile with the blood isolate and PVL gene positive.
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Affiliation(s)
- C L Leong
- Hospital Kuala Lumpur, Medical Department, Kuala Lumpur, Malaysia.
| | - A Norazah
- Institute for Medical Research, Infectious Diseases Research Centre, Kuala Lumpur, Malaysia
| | - A Azureen
- Hospital Kuala Lumpur, Medical Department, Kuala Lumpur, Malaysia
| | - R Lingam
- Hospital Kuala Lumpur, Medical Department, Kuala Lumpur, Malaysia
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Ceponis PJ, Fox W, Tailor TD, Hurwitz LM, Amrhein TJ, Moon RE. Non-dysbaric arterial gas embolism associated with chronic necrotizing pneumonia, bullae and coughing: a case report. Undersea Hyperb Med 2017; 44:73-77. [PMID: 28768088 DOI: 10.22462/1.2.2017.16] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Arterial gas embolism (AGE) can be clinically devastating, and is most often associated with exposure to changes in ambient pressure, medical procedure or congenital malformation. Here we report a case of AGE in a 78-year-old male without these traditional risk factors. Rather, the patient's history included chronic obstructive pulmonary disease, necrotizing pneumonia, bullous disease and coughing. He was safely treated with hyperbaric oxygen (HBO₂) therapy for AGE, with initial clinical improvement, but ultimately died from his underlying condition. Pathophysiology is discussed. This case illustrates the possibility that AGE can occur due to rupture of lung tissue in the absence of traditional risk factors. HBO₂ therapy should be considered in the management of such patients.
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Affiliation(s)
- Peter J Ceponis
- Fellow in Undersea & Hyperbaric Medicine, Hyperbaric Division, Department of Anesthesiology, Duke University Medical Center, Durham, N.C. U.S.; Royal Canadian Medical Service, Canadian Armed Forces, Ottawa, Ontario, Canada
| | - William Fox
- Intern, Department of Anesthesiology, Duke University Medical Center, Durham, N.C. U.S
| | - Tina D Tailor
- Cardiothoracic Imaging Fellow, Department of Radiology, Duke University Medical Center, Durham, N.C. U.S
| | - Lynne M Hurwitz
- Associate Professor, Division of Cardiothoracic Imaging, Department of Radiology, Duke University Medical Center, Durham, N.C. U.S
| | - Timothy J Amrhein
- Assistant Professor, Division of Neuroradiology, Department of Radiology, Duke University Medical Center, Durham, N.C. U.S
| | - Richard E Moon
- Professor of Anesthesiology, Hyperbaric Division, Department of Anesthesiology, Duke University Medical Center, Durham, N.C. U.S
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