BRONCHOPLEURAL FISTULA IN COMMUNITY-ACQUIRED PNEUMONIA

  • Inês Ferreira Serviço de Pediatria, Centro Materno Infantil do Norte, Centro Hospitalar do Porto
  • João Nascimento Serviço de Pediatria, Centro Materno Infantil do Norte, Centro Hospitalar do Porto
  • Margarida Guedes Serviço de Pediatria, Centro Materno Infantil do Norte, Centro Hospitalar do Porto
  • Lurdes Morais Serviço de Pediatria, Centro Materno Infantil do Norte, Centro Hospitalar do Porto
  • Ana Ramos Serviço de Pediatria, Centro Materno Infantil do Norte, Centro Hospitalar do Portov
Keywords: Community-acquired pneumonia, necrotizing pneumonia, bronchopleural fistula

Abstract

Bronchopleural fistula, although rare in infant and child, is one of the possible complications of community-acquired pneumonia.

A two-years-old boy, previously healthy, with complete antipneumococcal vaccination, was hospitalized on the fifth day of illness with a community-acquired pneumonia complicated with empyema. A chest tube was placed in D7 with intra-pleural fibrinolytic administration. In D10 the chest drain was removed after suspicion of a brochopleural fistula. Chest tomography was consistent with necrotizing pneumonia complicated with bronchopleural fistula. Conservative treatment with broad spectrum antibiotic therapy was decided for six weeks, with a favorable outcome. At two years of follow-up he remained asymptomatic.

The authors point out that, even in previously healthy children, community-acquired pneumonia may complicate with necrotizing pneumonia and bronchopleural fistula.vv

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Published
2017-04-03
How to Cite
Ferreira, I., Nascimento, J., Guedes, M., Morais, L., & Ramos, A. (2017). BRONCHOPLEURAL FISTULA IN COMMUNITY-ACQUIRED PNEUMONIA. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 26(1), 57-61. https://doi.org/10.25753/BirthGrowthMJ.v26.i1.9403
Section
Case Reports

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