Hannoodi Faris, Ali Israa, Sabbagh Hussam, Kumar Sarwan
Crittenton Hospital, 1101 W. University Drive, 2 South, Rochester, MI 48307, USA.
Case Rep Pulmonol. 2016;2016:7452161. doi: 10.1155/2016/7452161. Epub 2016 Nov 6.
We report a case of a 52-year-old immunocompetent Caucasian female treated for necrotizing pneumonia and review available literature of similar cases. Our patient presented with respiratory failure and required hospitalization and treatment in the intensive care unit. Moreover, she required surgical drainage of right lung empyema as well as decortication and resection. The review of literature revealed three cases of pneumonia, one of which was a mortality. Comparison of the published cases showed a highly varied prehospital course and radiological presentations, with a symptomatic phase ranging from 10 days to five months. Radiological findings varied from an isolated pleural effusion to systemic disease with the presence of brain abscesses. Immunocompetence appears to correlate well with the overall prognosis. In addition, smoking appears to be an important risk factor for pneumonia. In 2 (50%) of cases, pleural fluid analysis identified . In contrast, no organism was found in our patient, necessitating the acquisition of lung tissue sample for the diagnosis. In conclusion, both medical and surgical management are necessary for effective treatment of pneumonia. The outcome of treatment is good in immunocompetent individuals.
我们报告了一例52岁免疫功能正常的白种女性坏死性肺炎病例，并回顾了类似病例的现有文献。我们的患者出现呼吸衰竭，需要住院并在重症监护病房接受治疗。此外，她需要进行右肺脓胸的手术引流以及胸膜剥脱术和切除术。文献回顾发现了三例坏死性肺炎病例，其中一例死亡。已发表病例的比较显示院前病程和影像学表现差异很大，症状期从10天到5个月不等。影像学表现从单纯胸腔积液到伴有脑脓肿的全身性疾病各不相同。免疫功能正常似乎与总体预后密切相关。此外，吸烟似乎是坏死性肺炎的一个重要危险因素。在2例（50%）病例中，胸腔积液分析发现了……。相比之下，我们的患者未发现病原体，因此需要获取肺组织样本进行诊断。总之，坏死性肺炎的有效治疗需要药物和手术治疗。免疫功能正常个体的治疗效果良好。
