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Pediatría (Asunción)

On-line version ISSN 1683-9803


SAMUDIO DOMINGUEZ, Gloria Celeste et al. Primary pulmonary abscess in pediatrics. Case reports and a review of the literature. Pediatr. (Asunción) [online]. 2018, vol.45, n.1, pp.59-64. ISSN 1683-9803.


Pulmonary abscess is an infrequent pathology in the pediatric age with a diverse etiology. The treatment is medical - surgical.


To review the clinical presentation, bacteriology, images and outcomes of pulmonary abscesses in pediatric patients.

Materials and Methods:

This was an observational, descriptive study, carried out from January 2010 to September 2016. All patients under 16 years of age, with a diagnosis of pulmonary abscess verified by computerized axial tomography (CT), were included. We collected the relevant clinical, hematological, bacteriological, treatment and outcome information for each case.


10 patients were included. They had an average age of 6 years, more frequently male. 80% developed as a complication of community-acquired pneumonia (CAP) and 100% were primary. The diagnosis was confirmed by chest CT. Staphylococcus aureus was isolated in 30% of cases. The right lung was the most frequently affected. All cases were cured with medical treatment only, using a third-generation cephalosporin, combined with an anti- staphylococcal antibiotic, with a treatment course of over 4 weeks. There were no deaths or readmissions.


Pulmonary abscesses are rare. They can present as a complication of CAP or septicemia. They respond well to prolonged medical treatment and can occur in pediatric population without underlying pathologies.

Keywords : Pulmonary abscess; bacterial pneumonia; Staphylococcus aureus; underlying pathology.

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