دورية أكاديمية
أعرض في EDS

The Enigma of Recurrent Lung Abscess: Management and Outcomes in a School-Aged Child With a Review of Literature.

التفاصيل البيبلوغرافية
العنوان: The Enigma of Recurrent Lung Abscess: Management and Outcomes in a School-Aged Child With a Review of Literature.
المؤلفون: Bhende VV; Pediatric Cardiac Surgery, Bhanubhai and Madhuben Patel Cardiac Centre, Shree Krishna Hospital, Bhaikaka University, Karamsad, IND., Thacker JP; Pediatrics, Pramukhswami Medical College, Shree Krishna Hospital, Bhaikaka University, Karamsad, IND., Mehta DV; Radiodiagnosis and Imaging, Pramukhswami Medical College, Shree Krishna Hospital, Bhaikaka University, Karamsad, IND., Krishnakumar M; Anesthesiology, St. John's Medical College Hospital, Bengaluru, IND., Khara BN; Anesthesiology, Pramukhswami Medical College, Shree Krishna Hospital, Bhaikaka University, Karamsad, IND.
المصدر: Cureus [Cureus] 2024 Jul 01; Vol. 16 (7), pp. e63579. Date of Electronic Publication: 2024 Jul 01 (Print Publication: 2024).
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Pediatric lung abscess is a rare and poorly studied disease entity. In the past, prolonged courses of intravenous (IV) antibiotics have been successfully used; however, with the advent of interventional radiology, the main therapeutic approach is through percutaneous placement of pigtail catheters with ultrasound and computed tomography (CT) direction, where available. The pathogen yield identified from fluid samples of the abscess has dramatically increased owing to the greater invasive measures, such as aspiration and drainage, as well as enhanced microbiological diagnostic methods, which also include polymerase chain reaction testing. In our case report, in 2012 when the patient was two years old, she was diagnosed with pulmonary Koch's and underwent anti-Koch's therapy, category 2. High-resolution CT of the chest revealed a large lobulated cavitary lesion with an air-fluid level suggestive of a right lung abscess. After initial therapy with IV antibiotics for three weeks and a negative tuberculosis work-up, she underwent right limited lateral thoracotomy and drainage with decortication of the right lung abscess (LA) in 2019 via a left endobronchial tube with a bronchial blocker (general endobronchial anesthesia). All samples sent for histopathologic examination after surgery yielded negative results, and she was discharged after a course of injectable antibiotics for 21 days. She remained almost symptom-free for the next four years. Thereafter, she presented with a right LA recurrence due to a thick-walled cavitary lesion, with a severely damaged right lower lung lobe resulting in right lower lobectomy under single-lung ventilation (double-lumen endotracheal tube No. 26 Fr.). Culture results should guide management, particularly for immunocompromised patients, as the LA may be attributed to complications arising from underlying conditions. Primary lung abscesses (PLA) in children are typically caused by  Staphylococcus aureus, Streptococcal species,  and  Klebsiella pneumoniae . Compared to adults, children with PLA and secondary lung abscesses have a meaningfully greater rate of recovery.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Institutional Ethics Committee (IEC), H. M. Patel Centre for Medical Care and Education issued approval IEC/BU/2023/Cr.21/135/2023. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Bhende et al.)
References: Semin Intervent Radiol. 2011 Mar;28(1):75-86. (PMID: 22379278)
J Microbiol Immunol Infect. 2005 Jun;38(3):183-8. (PMID: 15986068)
Eur Radiol. 2022 Feb;32(2):1184-1194. (PMID: 34327579)
ANZ J Surg. 2022 Jul;92(7-8):1850-1855. (PMID: 35678219)
J Microbiol Immunol Infect. 2004 Feb;37(1):45-9. (PMID: 15060687)
Surg Today. 2016 Jun;46(6):668-85. (PMID: 26289837)
Paediatr Respir Rev. 2007 Mar;8(1):77-84. (PMID: 17419981)
Ann Thorac Med. 2016 Jul-Sep;11(3):191-6. (PMID: 27512508)
Curr Opin Pulm Med. 2024 May 1;30(3):229-234. (PMID: 38411181)
Scand J Infect Dis. 2002;34(9):673-9. (PMID: 12374359)
Rev Port Pneumol (2006). 2015 Sep-Oct;21(5):280-1. (PMID: 26008769)
Ann Transl Med. 2015 Aug;3(13):183. (PMID: 26366400)
Rev Mal Respir. 2019 Jun;36(6):707-719. (PMID: 31202603)
Korean J Pediatr. 2015 Dec;58(12):478-83. (PMID: 26770223)
Pediatrics. 2016 Jan;137(1):. (PMID: 26644484)
Respir Med Case Rep. 2020 Sep 16;31:101229. (PMID: 32995265)
فهرسة مساهمة: Keywords: antibiotics; lung abscess; percutaneous ultrasonography guided trans-thoracic needle aspiration; thoracoscopy; thoracotomy; video-assisted thoracoscopic surgery (vats)
تواريخ الأحداث: Date Created: 20240703 Latest Revision: 20240704
رمز التحديث: 20240704
مُعرف محوري في PubMed: PMC11218490
DOI: 10.7759/cureus.63579
PMID: 38957511
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.63579