A case of empyema secondary to necrotizing pneumonia successfully treated with broad- spectrum antibiotics and fibrinolytic therapy in the early period
Eren Güzeloğlu1
, Sakine Işık2, Şule Çağlayan Sözmen2, Suna Asilsoy2
1University Of Health Sciences, Prof. Dr. Cemil Taşçıoğlu City Hospital, Pediatrics, İstanbul, Türkiye
2Dokuz Eylül University Hospital, Child Immunology And Allergy, İzmir, Türkiye
Keywords: Necrotizing pneumonia, Antibiotic treatment, Fibrinolytic therapy, Children.
Abstract
Necrotizing pneumonia is a rare complication of bacterial lung infections, and host factors and the virulence of the microorganism are effective in its emergence. The most common microorganisms involved in etiology are Staphylococcus aureus, Streptococcus pyogenes, Klebsiella pneumonia, Nocardia and Streptococcus pneumonia. Patients may present with high fever, rapidly progressing respiratory distress, cough, hemoptysis and rapid deterioration in radiological findings. Necrotizing pneumonia heals without sequelae in healthy children. However, in a small number of cases, it may be complicated by lung abscess, empyema, pneumatocele or bronchopleural fistula. A case of necrotizing pneumonia successfully treated with fibrinolytic therapy applied in the early period is presented here.
Cite this article as: Guzeloglu E, Isik S, Caglayan Sozmen C, Asilsoy A. A case of empyema secondary to necrotizing pneumonia successfully treated with broad- spectrum antibiotics and fibrinolytic therapy in the early period. Pediatr Acad Case Rep. 2026;5(1):1-4.
The parents’ of this patient consent was obtained for this study.
The authors declared no conflicts of interest with respect to authorship and/or publication of the article.
The authors received no financial support for the research and/or publication of this article.