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[Necrotizing pneumonia in children: apropos of 4 cases]
T Schadeck1, D Beckers, P Eucher
1Service de pédiatrie et de pneumologie de l'enfant, clinique universitaire de Mont-Godinne, université catholique de Louvain, avenue G.-Thérasse-1, 5530 Yvoir, Belgique.
Objectives:
To describe the necrotizing pneumonia in children, a severe affection which prevalence seems to increase; to review literature.
Patients And Methods:
We report 4 cases of necrotizing pneumonia: symptoms, agents, diagnostic tools, treatment and long term evolution.
Results:
In 2 cases, pneumatoceles could be seen at chest X-ray. Two patients presented a deficiency of anti-pneumococcal antibodies. Three needed insertion of a pleural chest tube of whom 1 had a resection of a small piece of necrotic lung. Duration of hospitalisation is longer than in uncomplicated pneumonias.
Conclusion:
Necrotizing pneumonia is a severe affection. Diagnosis has to be made by lung CT. Long term evolution is excellent in pediatric population with serious management at hospital.
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