Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA.
Morehouse School of Medicine, Atlanta, Georgia, USA.
BMJ Case Rep. 2024 Aug 12;17(8):e259496. doi: 10.1136/bcr-2023-259496.
Lung abscesses are uncommon in the paediatric population, often manifesting with cough, shortness of breath, chest pain and fever. A high index of suspicion is imperative to prevent delays in treatment. This is a case report of a previously healthy child in early childhood with a 5-month history of recurrent left upper lobe (LUL) pneumonia. A foreign body was identified in the LUL and removed via flexible bronchoscopy. Following the foreign body removal, the patient developed a 9 cm lung abscess. A high index of suspicion for a lung abscess post-foreign body removal is important for early diagnosis and ensuring appropriate antibiotic coverage in patients with persistent fever. Intravenous antibiotics are essential in the management of lung abscesses. Consideration should be given to percutaneous drainage in situations where there is minimal improvement after 72 hours of suitable antimicrobial therapy or when the abscess exceeds 6 cm in size.
肺脓肿在儿科人群中较为少见，常表现为咳嗽、呼吸急促、胸痛和发热。高度怀疑是必不可少的，以防止治疗延误。这是一例报告，涉及一名幼儿期以前健康的儿童，有 5 个月的复发性左上叶（LUL）肺炎病史。在 LUL 中发现了异物，并通过软性支气管镜取出。异物取出后，患者出现 9 厘米肺脓肿。异物取出后肺脓肿的高度怀疑对于早期诊断和确保持续性发热患者的适当抗生素覆盖非常重要。静脉内抗生素是肺脓肿管理的重要组成部分。在适当的抗菌治疗 72 小时后，或当脓肿大于 6 厘米时，应考虑经皮引流。
