BRONCHOPLEURAL FISTULA IN COMMUNITY-ACQUIRED PNEUMONIA
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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