Lung abscess as a complication of pneumonia in 19-month old child

Introduction: Community-acquired pneumonia is one of the most common diseases in infancy but most of these diseases have relatively simple course. We are presenting a case of child who developed lung abscess as a complication of pneumonia. Case Report: The goal of our case report is to point out tha...

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Main Authors: Bajić Dejana D., Todorović Nemanja B., Eić Nikola M., Lalić-Popović Mladena N., Milijašević Boris Ž.
Format: Article
Language:English
Published: Srpsko lekarsko drustvo 2020-01-01
Series:Hospital Pharmacology
Subjects:
Online Access:https://scindeks-clanci.ceon.rs/data/pdf/2334-9492/2020/2334-94922001868X.pdf
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author Bajić Dejana D.
Todorović Nemanja B.
Eić Nikola M.
Lalić-Popović Mladena N.
Milijašević Boris Ž.
author_facet Bajić Dejana D.
Todorović Nemanja B.
Eić Nikola M.
Lalić-Popović Mladena N.
Milijašević Boris Ž.
author_sort Bajić Dejana D.
collection DOAJ
description Introduction: Community-acquired pneumonia is one of the most common diseases in infancy but most of these diseases have relatively simple course. We are presenting a case of child who developed lung abscess as a complication of pneumonia. Case Report: The goal of our case report is to point out that lung abscess is a relatively rare entity whose development is not always typical, sudden and acute, but also hidden, inconspicuous and perfidious. Although clinical picture and laboratory findings indicated that the pneumonia was cured, a single control CT scan showed that there was inflammation (hotspot) in the organism. Discussion: Lung abscess is a rare state which is developed as a complication only at 1% of pneumonias. Complications are rare and depend on the previous immunological status of the child and the presence of comorbidity. The duration of antibiotic therapy depends on the clinical and radiographic response of the patient. The chosen antibiotics have to cover a wide specter of Gram-positive and Gram-negative bacteria. Conclusions: The key role in making a diagnosis played radiological methods which were crucial in monitoring the evolution of the change itself, from its creation to regression. The triple antibiotic therapy with meropenem, vancomycin and metronidazole enabled an (excellent) recovery outcome.
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spelling doaj.art-0212d966f56a421e94a5964b69cd6c0c2022-12-21T23:39:04ZengSrpsko lekarsko drustvoHospital Pharmacology2334-94922334-94922020-01-01718688742334-94922001868XLung abscess as a complication of pneumonia in 19-month old childBajić Dejana D.0Todorović Nemanja B.1Eić Nikola M.2Lalić-Popović Mladena N.3https://orcid.org/0000-0001-8354-3868Milijašević Boris Ž.4Institutut za zdravstvenu zaštitu dece i omladine Vojvodine, Novi SadUniverzitet u Novom Sadu, Medicinski fakultet, Katedra za farmaciju, Novi SadInstitutut za zdravstvenu zaštitu dece i omladine Vojvodine, Novi SadUniverzitet u Novom Sadu, Medicinski fakultet, Katedra za farmaciju, Novi SadUniverzitet u Novom Sadu, Medicinski fakultet, Katedra za farmakologiju, toksikologiju i kliničku farmakologiju, Novi SadIntroduction: Community-acquired pneumonia is one of the most common diseases in infancy but most of these diseases have relatively simple course. We are presenting a case of child who developed lung abscess as a complication of pneumonia. Case Report: The goal of our case report is to point out that lung abscess is a relatively rare entity whose development is not always typical, sudden and acute, but also hidden, inconspicuous and perfidious. Although clinical picture and laboratory findings indicated that the pneumonia was cured, a single control CT scan showed that there was inflammation (hotspot) in the organism. Discussion: Lung abscess is a rare state which is developed as a complication only at 1% of pneumonias. Complications are rare and depend on the previous immunological status of the child and the presence of comorbidity. The duration of antibiotic therapy depends on the clinical and radiographic response of the patient. The chosen antibiotics have to cover a wide specter of Gram-positive and Gram-negative bacteria. Conclusions: The key role in making a diagnosis played radiological methods which were crucial in monitoring the evolution of the change itself, from its creation to regression. The triple antibiotic therapy with meropenem, vancomycin and metronidazole enabled an (excellent) recovery outcome.https://scindeks-clanci.ceon.rs/data/pdf/2334-9492/2020/2334-94922001868X.pdfpulmonary abscesspediatricsdrug therapyantibioticscomputed tomography
spellingShingle Bajić Dejana D.
Todorović Nemanja B.
Eić Nikola M.
Lalić-Popović Mladena N.
Milijašević Boris Ž.
Lung abscess as a complication of pneumonia in 19-month old child
Hospital Pharmacology
pulmonary abscess
pediatrics
drug therapy
antibiotics
computed tomography
title Lung abscess as a complication of pneumonia in 19-month old child
title_full Lung abscess as a complication of pneumonia in 19-month old child
title_fullStr Lung abscess as a complication of pneumonia in 19-month old child
title_full_unstemmed Lung abscess as a complication of pneumonia in 19-month old child
title_short Lung abscess as a complication of pneumonia in 19-month old child
title_sort lung abscess as a complication of pneumonia in 19 month old child
topic pulmonary abscess
pediatrics
drug therapy
antibiotics
computed tomography
url https://scindeks-clanci.ceon.rs/data/pdf/2334-9492/2020/2334-94922001868X.pdf
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AT eicnikolam lungabscessasacomplicationofpneumoniain19montholdchild
AT lalicpopovicmladenan lungabscessasacomplicationofpneumoniain19montholdchild
AT milijasevicborisz lungabscessasacomplicationofpneumoniain19montholdchild