Necrotizing Pneumonia in a Diabetic Child Successfully Treated with Pneumonectomy
Diabetic patients may experience more severe Staphylococcus aureus-related respiratory tract infections such as necrotizing pneumonia (NP). A 13-year-old girl with uncontrolled diabetes mellitus was admitted to pediatric intensive care unit (PICU) with diabetic ketoacidosis and respiratory distress....
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2019-07-01
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| Series: | İstanbul Medical Journal |
| Subjects: | |
| Online Access: |
http://imj.galenos.com.tr/archives/archive-detail/article-preview/necrotizing-pneumonia-in-a-diabetic-child-successf/21464
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| _version_ | 1797922909696557056 |
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| author | Gürkan Atay Manolya Kara Emine Çalışkan Feryal Gül Soysal Selda Hancerli Torun Ayper Somer Kemal Nişli Agop Çıtak |
| author_facet | Gürkan Atay Manolya Kara Emine Çalışkan Feryal Gül Soysal Selda Hancerli Torun Ayper Somer Kemal Nişli Agop Çıtak |
| author_sort | Gürkan Atay |
| collection | DOAJ |
| description | Diabetic patients may experience more severe Staphylococcus aureus-related respiratory tract infections such as necrotizing pneumonia (NP). A 13-year-old girl with uncontrolled diabetes mellitus was admitted to pediatric intensive care unit (PICU) with diabetic ketoacidosis and respiratory distress. Her initial evaluation revealed diffuse pneumonic infiltration that progressed to NP within days. She was intubated and placed on mechanical ventilator (MV) support. Positive inotropes and broad-spectrum antibiotics were initiated. Methicillinresistant S. aureus was isolated from blood and pleural specimen cultures. In spite of aggressive medical treatment, infection could not be controlled and lobectomy was performed. However, the patient was fistulized and right total pneumonectomy was performed on the 16th and 29th days of PICU admission. She gradually got better and was weaned from MV. On the 59th day, she was discharged oxygen-free from the hospital. Early surgical intervention should be considered for the treatment of NP resistant to medical therapy. |
| first_indexed | 2024-04-10T14:39:50Z |
| format | Article |
| id | doaj.art-d06a38d6b2f1456983c891114fbec28b |
| institution | Directory Open Access Journal |
| issn | 2619-9793 2148-094X |
| language | English |
| last_indexed | 2024-04-10T14:39:50Z |
| publishDate | 2019-07-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | İstanbul Medical Journal |
| spelling | doaj.art-d06a38d6b2f1456983c891114fbec28b2023-02-15T16:08:19ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2019-07-0120435235510.4274/imj.galenos.2018.3371613049054Necrotizing Pneumonia in a Diabetic Child Successfully Treated with PneumonectomyGürkan Atay0Manolya Kara1Emine Çalışkan2Feryal Gül Soysal3Selda Hancerli Torun4Ayper Somer5Kemal Nişli6Agop Çıtak7 İstanbul University Faculty of Medicine, Department of Pediatric Intensive Care, İstanbul, Turkey İstanbul University Faculty of Medicine, Department of Pediatric Infectious Diseases, İstanbul, Turkey İstanbul University Faculty of Medicine, Department of Pediatric Radiology, İstanbul, Turkey İstanbul University Faculty of Medicine, Department of Pediatric Surgery, İstanbul, Turkey İstanbul University Faculty of Medicine, Department of Pediatric Infectious Diseases, İstanbul, Turkey İstanbul University Faculty of Medicine, Department of Pediatric Infectious Diseases, İstanbul, Turkey İstanbul University Faculty of Medicine, Department of Pediatric Intensive Care, İstanbul, Turkey İstanbul University Faculty of Medicine, Department of Pediatric Intensive Care, İstanbul, Turkey Diabetic patients may experience more severe Staphylococcus aureus-related respiratory tract infections such as necrotizing pneumonia (NP). A 13-year-old girl with uncontrolled diabetes mellitus was admitted to pediatric intensive care unit (PICU) with diabetic ketoacidosis and respiratory distress. Her initial evaluation revealed diffuse pneumonic infiltration that progressed to NP within days. She was intubated and placed on mechanical ventilator (MV) support. Positive inotropes and broad-spectrum antibiotics were initiated. Methicillinresistant S. aureus was isolated from blood and pleural specimen cultures. In spite of aggressive medical treatment, infection could not be controlled and lobectomy was performed. However, the patient was fistulized and right total pneumonectomy was performed on the 16th and 29th days of PICU admission. She gradually got better and was weaned from MV. On the 59th day, she was discharged oxygen-free from the hospital. Early surgical intervention should be considered for the treatment of NP resistant to medical therapy. http://imj.galenos.com.tr/archives/archive-detail/article-preview/necrotizing-pneumonia-in-a-diabetic-child-successf/21464 Diabeteschildnecrotizing pneumoniapneumonectomy |
| spellingShingle | Gürkan Atay Manolya Kara Emine Çalışkan Feryal Gül Soysal Selda Hancerli Torun Ayper Somer Kemal Nişli Agop Çıtak Necrotizing Pneumonia in a Diabetic Child Successfully Treated with Pneumonectomy İstanbul Medical Journal Diabetes child necrotizing pneumonia pneumonectomy |
| title | Necrotizing Pneumonia in a Diabetic Child Successfully Treated with Pneumonectomy |
| title_full | Necrotizing Pneumonia in a Diabetic Child Successfully Treated with Pneumonectomy |
| title_fullStr | Necrotizing Pneumonia in a Diabetic Child Successfully Treated with Pneumonectomy |
| title_full_unstemmed | Necrotizing Pneumonia in a Diabetic Child Successfully Treated with Pneumonectomy |
| title_short | Necrotizing Pneumonia in a Diabetic Child Successfully Treated with Pneumonectomy |
| title_sort | necrotizing pneumonia in a diabetic child successfully treated with pneumonectomy |
| topic | Diabetes child necrotizing pneumonia pneumonectomy |
| url |
http://imj.galenos.com.tr/archives/archive-detail/article-preview/necrotizing-pneumonia-in-a-diabetic-child-successf/21464
|
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