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Long-term sequelae after lung abscess in children - Two tertiary centers' experience

I Wojsyk-Banaszak1, K Krenke2, K Jończyk-Potoczna3

  • 1Department of Pulmonology, Pediatric Allergy and Clinical Immunology, Poznań University of Medical Sciences, Poznań, Poland.

Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy
|February 19, 2018
PubMed

Insights

Childhood pneumonia can lead to lung abscess, a rare but serious complication. Most children recover well, with few experiencing long-term lung issues after treatment.

Area of Science:

  • Pediatric Pulmonology
  • Infectious Diseases
  • Radiology

Background:

  • Lung abscess is a severe complication of childhood pneumonia.
  • Understanding its epidemiology and clinical course is crucial for effective management.

Purpose of the Study:

  • To describe the epidemiology and clinical characteristics of pediatric lung abscess.
  • To evaluate the long-term sequelae following lung abscess in children.

Main Methods:

  • Retrospective review of medical records from two tertiary centers.
  • Inclusion of patients treated for pulmonary abscess.
  • Follow-up assessments included pulmonary function tests and lung ultrasound.

Main Results:

  • 0.95% of pediatric pneumonia admissions (49 cases) developed lung abscess.
  • Antibiotics were the primary treatment (77.5%), with surgery in 16.3%.
  • Complete radiological regression occurred in 51.21% of cases; mean regression time was 84 days. Long-term follow-up revealed minor abnormalities in 73.3% and abnormal pulmonary function tests (hyperinflation) in 53.3%.

Conclusions:

  • Lung abscess is a rare but severe pediatric pneumonia complication.
  • Most children achieve uneventful recovery.
  • Significant long-term pulmonary sequelae are uncommon.
Abstract

Keywords:
ChildrenCommunity-acquired pneumoniaLung abscessLung function testingLung ultrasound

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