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Published on: November 30, 2021
Necrotizing Pneumonia In Children: A Review
Helena Teresinha Mocelin1, Gilberto Bueno Fischer1, Júlia Danezi Piccini2
1Department of Paediatrics, Federal University of Health Sciences of Porto Alegre (UFCSPA), Brazil; Pediatric Pulmonology Section, Hospital da Criança Santo Antônio, Porto Alegre, Brazil.
Necrotising pneumonia (NP) often requires prolonged hospitalization but most patients achieve complete recovery with normal lung function. Ultrasound is the preferred diagnostic tool, and frequent chest X-rays are generally unnecessary during recovery.
Area of Science:
- Pediatric Pulmonology
- Infectious Diseases
- Radiology
Background:
- Necrotising pneumonia (NP) is a severe lung infection with significant morbidity.
- Understanding long-term outcomes is crucial for effective patient management.
Purpose of the Study:
- To review the long-term outcomes of necrotising pneumonia.
- To identify optimal diagnostic and follow-up imaging strategies.
Main Methods:
- Systematic review of studies published since 1990.
- Searched PubMed and Scielo databases.
- Included studies in English, Portuguese, or Spanish.
Main Results:
- Ultrasound is the preferred diagnostic modality for NP.
- Most patients experience complete recovery with normal lung function.
- Lung lesions typically resolve within 4-6 months post-treatment.
Conclusions:
- Despite prolonged recovery, necrotising pneumonia generally has favorable long-term outcomes.
- Routine follow-up chest X-rays are not essential.
- Chest CT scans should be reserved for complicated or non-resolving cases.
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