Severe necrotising pneumonia in a toddler: A rare presentation with dual bacterial aetiology.

التفاصيل البيبلوغرافية
العنوان: Severe necrotising pneumonia in a toddler: A rare presentation with dual bacterial aetiology.
المؤلفون: Garba MA; Department of Paediatrics, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria., Umar LW; Department of Paediatrics, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria., Akeredolu FD; Department of Paediatrics, Federal Medical Centre, Gusau, Nigeria., Mayaki S; Department of Paediatrics, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
المصدر: The Nigerian postgraduate medical journal [Niger Postgrad Med J] 2019 Jan-Mar; Vol. 26 (1), pp. 65-68.
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: published by Wolters Kluwer-Medknow for the Nigerian Postgraduate Medical College of Nigeria Country of Publication: Nigeria NLM ID: 9613595 Publication Model: Print Cited Medium: Print ISSN: 1117-1936 (Print) NLM ISO Abbreviation: Niger Postgrad Med J Subsets: MEDLINE
أسماء مطبوعة: Publication: <2015- > : Mumbai : published by Wolters Kluwer-Medknow for the Nigerian Postgraduate Medical College of Nigeria
Original Publication: Ebute Metta, Lagos, Nigeria : National Postgraduate Medical College of Nigeria, [1994-
مواضيع طبية MeSH: Anti-Bacterial Agents/*therapeutic use , Klebsiella pneumoniae/*isolation & purification , Pneumonia, Bacterial/*diagnosis , Pneumonia, Necrotizing/*diagnosis , Staphylococcus aureus/*isolation & purification, Child, Preschool ; Humans ; Nigeria ; Pneumonia, Bacterial/drug therapy ; Pneumonia, Bacterial/microbiology ; Pneumonia, Necrotizing/drug therapy ; Pneumonia, Necrotizing/microbiology ; Sputum/microbiology
مستخلص: Necrotising pneumonia (NP) is a rare complication of bacterial pneumonia which is associated with severe morbidity and mortality. Pneumonia of polymicrobial aetiology predicts worse pathology with fulminating clinical course. Reports of necrotising pneumonia from multiple bacterial infections are scanty in published literature. We report a case of a toddler with NP in whom Klebsiella pneumonia and Staphylococcus aureus, two pathogens which are well documented in its aetiopathogenesis, were isolated concurrently from his sputum and blood. Severe pneumonia, which shows slow response to recommended antibiotics treatment, should raise the suspicion of NP and possibly one of the polymicrobial origins. Even in resource-constrained settings, prompt institution of antibiotics and supportive care can result in resolution of pulmonary lesions.
Competing Interests: None
فهرسة مساهمة: Keywords: Child; Klebsiella pneumoniae; Staphylococcus aureus; necrotising pneumonia
المشرفين على المادة: 0 (Anti-Bacterial Agents)
تواريخ الأحداث: Date Created: 20190313 Date Completed: 20190523 Latest Revision: 20190523
رمز التحديث: 20221213
DOI: 10.4103/npmj.npmj_1_19
PMID: 30860202
قاعدة البيانات: MEDLINE
الوصف
تدمد:1117-1936
DOI:10.4103/npmj.npmj_1_19