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Pediatría (Asunción)
versão On-line ISSN 1683-9803
Resumo
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. https://doi.org/10.31698/ped.45012018008.
Introduction:
Pulmonary abscess is an infrequent pathology in the pediatric age with a diverse etiology. The treatment is medical - surgical.
Objective:
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.
Results:
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.
Conclusions:
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.
Palavras-chave : Pulmonary abscess; bacterial pneumonia; Staphylococcus aureus; underlying pathology.