Costin Mariana, Cinteză Eliza, Marcu Veronica, Pavelescu Mirela Luminița, Cherecheș-Panța Paraschiva, Bălănescu Julia Susanne, Slăvulete Ramona Elena, Roxana Taraș, Ionescu Marcela Daniela
Department of Pediatrics, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Pediatric Nephrology, "M.S. Curie" Emergency Clinical Hospital for Children, 077120 Bucharest, Romania.
J Clin Med. 2024 Dec 20;13(24):7790. doi: 10.3390/jcm13247790.
Pulmonary abscess is a rare but serious condition in pediatric patients, caused by severe pulmonary infection that leads to tissue destruction and necrosis. It can be classified as primary or secondary depending on the cause. Establishing an etiology in pediatric pulmonary abscesses is challenging, underscoring the essential role of advanced imaging techniques, such as computed tomography, in achieving an accurate diagnosis and differentiating among various conditions that may mimic lung abscess. While conservative management with antibiotics is the first line of treatment, some cases may progress and require surgical intervention. We present two clinical cases of pediatric lung abscesses, emphasizing the importance of timely intervention, accompanied by a brief review of current knowledge that highlights key clinical features, diagnostic challenges, and therapeutic approaches in pediatric lung abscess.
肺脓肿在儿科患者中是一种罕见但严重的病症，由严重的肺部感染导致组织破坏和坏死引起。根据病因可分为原发性或继发性。确定儿科肺脓肿的病因具有挑战性，这凸显了先进成像技术（如计算机断层扫描）在准确诊断以及区分可能类似肺脓肿的各种病症方面的重要作用。虽然抗生素保守治疗是一线治疗方法，但有些病例可能会进展并需要手术干预。我们展示了两例儿科肺脓肿的临床病例，强调及时干预的重要性，并简要回顾了当前知识，突出了儿科肺脓肿的关键临床特征、诊断挑战和治疗方法。
