Легочная и респираторная медицина

Successful Conservative Management of Necrotizing Pneumonia in Pediatric Patients: Experience of Two Patients

Abstract

Yin Li, Ting-Yun Yuan, Jia-Wu Yang, Hai-Feng Liu, Pei-Long Li, Feng Li and Hong-Min Fu

Background: Necrotizing pneumonia is an uncommon, but serious complication of pneumonia in children. The indications and timing of surgical procedures are not outlined and are controversial.

Case report: In this report, we presented two pediatric cases, which be diagnosed with necrotizing pneumonia and have recognized indications for aggressive surgical operation. Nevertheless, the two patients were not treated with surgery due to their parents' concerns about complications of thoracotomy and damage to lung function and still achieved complete recovery in manifestations and radiology by conservative modalities including a lengthy course of antibiotics, bronchoscopy lavaging, thoracocentesis, and symptomatic treatment.

Conclusion: Necrotizing pneumonia can be successfully treated with a conservative treatment regimen even in patients with a recognized indication for surgery.