Chirteş Ioana Raluca, Mărginean Cristina Oana, Gozar Horea, Georgescu Anca Meda, Meliţ Lorena Elena
Infectious Diseases Clinic 1 Tîrgu Mureş, Tîrgu Mureş, Romania.
Paediatrics Clinic 1 Tîrgu Mureş, Tîrgu Mureş, Romania.
J Crit Care Med (Targu Mures). 2017 Aug 19;3(3):123-127. doi: 10.1515/jccm-2017-0023. eCollection 2017 Jul.
Pulmonary abscess or lung abscess is a lung infection which destroys the lung parenchyma leading to cavitations and central necrosis in localised areas formed by thick-walled purulent material. It can be primary or secondary. Lung abscesses can occur at any age, but it seems that paediatric pulmonary abscess morbidity is lower than in adults. We present the case of a one year and 5-month-old male child admitted to our clinic for fever, loss of appetite and an overall altered general status. Laboratory tests revealed elevated inflammatory biomarkers, leukocytosis with neutrophilia, anaemia, thrombocytosis, low serum iron concentration and increased lactate dehydrogenase level. Despite wide-spectrum antibiotic therapy, the patient's progress remained poor after seven days of treatment and a CT scan established the diagnosis of a large lung abscess. Despite changing the antibiotic therapy, surgical intervention was eventually needed. There was a slow but steady improvment and eventually, the patient was discharged after approximately five weeks.
肺脓肿是一种肺部感染，它会破坏肺实质，导致局部区域出现空洞和中央坏死，这些区域由厚壁脓性物质构成。它可以是原发性的，也可以是继发性的。肺脓肿可发生于任何年龄，但小儿肺脓肿的发病率似乎低于成人。我们报告一例1岁5个月大的男童，因发热、食欲不振和整体一般状况改变而入住我们的诊所。实验室检查显示炎症生物标志物升高、白细胞增多伴中性粒细胞增多、贫血、血小板增多、血清铁浓度降低和乳酸脱氢酶水平升高。尽管进行了广谱抗生素治疗，但治疗7天后患者的病情仍无好转，CT扫描确诊为巨大肺脓肿。尽管更换了抗生素治疗方案，但最终仍需要手术干预。患者病情改善缓慢但稳定，最终在大约五周后出院。
