Author/Authors :
Hashemi, Masumeh Pediatric Intensive Care Departmant - Mofid Children Hospital - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Behzad, Azita Pediatric Intensive Care Departmant - Mofid Children Hospital - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Ahmadizadeh, Narjes Pediatric Intensive Care Departmant - Mofid Children Hospital - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Shirvani, Fariba Pediatric Infections Research Center - Research Institude for Children’s Health - Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract :
Necrotizing pneumonia (NP) is a rare complication of community-acquired pneumonia, which occurs in patients with viral pneu-monia such as influenza and secondary bacterial infection. We present a five-year-old boy with cough and dyspnea and low SpO2, who was admitted to PICU. He was intubated, and two-sided chest tubes were placed because of pleural e usion. Nasopharyngeal RT-PCR for H1N1 was positive. Subcutaneous and mediastinal emphysema and a large pneumatocele developed concomitantly, and the patient underwent three times percutaneous aspiration of pneumatocele under anesthesia and CT scan guide without surgery. The size of the pneumatocele decreased, and the patient was extubated. After one month of admission, he was discharged in good condition and no pulmonary sequela.
Keywords :
Child , Influenza Virus , Pneumonia , Necrotizing
