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[Lobar pneumonia after adenotonsillectomy in children: a case report]

L Jiang, Y Xu, M Li

    Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology Head and Neck Surgery
    |June 5, 2019
    PubMed

    Insights

    Children undergoing adenotonsillectomy for obstructive sleep apnea (OSA) may develop pneumonia. Early diagnosis and treatment are crucial for recovery from this serious complication.

    Area of Science:

    • Pediatric Surgery
    • Pulmonology
    • Anesthesiology

    Background:

    • Obstructive sleep apnea (OSA) in children often necessitates adenotonsillectomy.
    • Preoperative assessment ruled out contraindications for surgery.

    Observation:

    • A child presented with severe snoring and suffocation due to OSA.
    • Post-adenotonsillectomy, the child developed fever and chest pain.
    • Chest CT confirmed left lobar pneumonia.

    Findings:

    • General anesthesia and surgery were identified as the cause of pneumonia.
    • Bronchoscopy, alveolar lavage, and antibiotics led to symptom improvement.
    • This case highlights the link between upper airway obstruction and lower respiratory tract infections.

    Implications:

    • Adenotonsillectomy in children with OSA carries a risk of developing lobar pneumonia.
    • Recognizing this association is vital for pediatric surgical and respiratory care.
    • Prompt intervention is necessary for managing post-operative pneumonia in this population.

    Keywords:
    lobar pneumoniaadenoidectomytonsil

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