Neumonía complicada por Influenza tipo A en paciente pediátrico: un reporte de caso
Abstract
Community-acquired pneumonia is a common cause of hospitalization in children and can worsen due to viral infections such as influenza A. We report the case of a four-year-old female patient with no relevant medical history who presented with persistent fever, productive cough, and progressive respiratory distress. Imaging studies revealed left lung collapse and a loculated pleural effusion; nasopharyngeal swab confirmed influenza A infection. Due to poor clinical response to medical treatment, a thoracotomy with left lower lobectomy was performed. Intraoperative findings revealed pulmonary necrosis and abundant fibrin. Postoperative recovery was favorable, with improvement of respiratory status and successful removal of the chest drain. This case highlights the importance of early surgical intervention in pediatric patients with complicated pneumonia due to influenza who fail to improve with conventional medical management.
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References
- UNICEF. Pneumonia in Children Statistics. 2023. Disponible en: https://data.unicef.org/topic/child-health/pneumonia/
- Arruda AA, Fortuna JP, Raposo AT, Soares MRP, Gonçalves JA, Gomes MF. Influenza virus infection complicated by bacterial necrotising pneumonia: Two case reports. Paediatr Int Child Health. 2020;40(3):202–206. https://doi.org/10.1080/20469047.2020.1748955 DOI: https://doi.org/10.1080/20469047.2020.1748955
- Han C, Zhang T, Zhao Y, Dong L, Li X, Zheng J, et al. Successful treatment of pleural empyema and necrotizing pneumonia caused by methicillin-resistant Staphylococcus aureus infection following influenza A virus infection: A case report and literature review. Front Pediatr. 2022;10:959419. https://doi.org/10.3389/fped.2022.959419 DOI: https://doi.org/10.3389/fped.2022.959419
- Białka S, Zieliński M, Latos M, Skurzyńska M, Żak M, Palaczyński P, et al. Severe Bacterial Superinfection of Influenza Pneumonia in Immunocompetent Young Patients: Case Reports. J Clin Med. 2024;13(19):5665. https://doi.org/10.3390/jcm13195665 DOI: https://doi.org/10.3390/jcm13195665
- Zheng B, Zhao J, Cao L. The clinical characteristics and risk factors for necrotizing pneumonia caused by Mycoplasma pneumoniae in children. BMC Infect Dis. 2020;20(1):391. https://doi.org/10.1186/s12879-020-05110-7 DOI: https://doi.org/10.1186/s12879-020-05110-7
- Zhang J, Zhang Y, Gao L, Wu H, Liu X, Yang F, Wang Y. Case Report: Necrotizing pneumonia in pediatric patients: a rare case of unilateral necrosis in two entire lobe tissues. Front Pediatr. 2024;12:1428402. https://doi.org/10.3389/fped.2024.1428402Frontiers DOI: https://doi.org/10.3389/fped.2024.1428402
- Chen Y, Li L, Wang C, Zhang Y, Zhou Y. Necrotizing Pneumonia in Children: Early Recognition and Management. J Clin Med. 2023;12(6):2256. https://doi.org/10.3390/jcm12062256 DOI: https://doi.org/10.3390/jcm12062256
- Benedictis FM, Kerem E, Chang AB, Colin AA, Zar HJ, Bush A. Complicated pneumonia in children. Lancet. 2020;396(10253):786-798. https://doi.org/10.1016/S0140-6736(20)31363-6Revista de Pediatría Contemporánea DOI: https://doi.org/10.1016/S0140-6736(20)31550-6
- González J, Jiménez A, Candel F. Neumonía comunitaria: selección del tratamiento empírico y terapia secuencial. Rev Esp Quimioter. 2021;34(6):599–609. https://doi.org/10.37201/req/144.2021 DOI: https://doi.org/10.37201/req/144.2021
- Troeger C, et al. Estimates of the global, regional, and national morbidity, mortality, and aetiologies of lower respiratory infections in 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Infect Dis. 2018;18(11):1191–210. https://doi.org/10.1016/S1473-3099(18)30310-4 DOI: https://doi.org/10.1016/S1473-3099(18)30310-4
- Han C, et al. Successful treatment of pleural empyema and necrotizing pneumonia caused by methicillin-resistant Staphylococcus aureus infection following influenza A virus infection: A case report and literature review. Front Pediatr. 2022;10:959419. https://doi.org/10.3389/fped.2022.959419 DOI: https://doi.org/10.3389/fped.2022.959419
- Białka S, et al. Severe Bacterial Superinfection of Influenza Pneumonia in Immunocompetent Young Patients: Case Reports. J Clin Med. 2024;13(19):5665. https://doi.org/10.3390/jcm13195665 DOI: https://doi.org/10.3390/jcm13195665
- Brizuela M, et al. Recomendaciones sobre neumonías complicadas en pediatría. Actualizaciones en Sida e Infectología. 2024;32(116 Supl. II):5–18. https://doi.org/10.52226/revista.v32i116.345 DOI: https://doi.org/10.52226/revista.v32i116.345
- Esposito S, et al. Impact of influenza virus infection on the respiratory bacterial microbiota in children with pneumonia. J Med Virol. 2020;92(1):97–103. https://doi.org/10.1002/jmv.25602 DOI: https://doi.org/10.1002/jmv.25602
- Somers K, Desai SR, Wells AU, et al. Necrotizing pneumonia: clinical features, imaging and outcomes in children. Pediatr Pulmonol. 2023;58(3):724–732. https://doi.org/10.1002/ppul.26354 DOI: https://doi.org/10.1002/ppul.26354
- Zheng B, et al. The clinical characteristics and risk factors for necrotizing pneumonia caused by Mycoplasma pneumoniae in children. BMC Infect Dis. 2020;20(1):391. https://doi.org/10.1186/s12879-020-05110-7 DOI: https://doi.org/10.1186/s12879-020-05110-7
Published 2025-06-27
Keywords
- pneumonia,
- influenza A,
- pediatrics,
- lobectomy,
- pleural effusion
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