Revista chilena de pediatría
versión impresa ISSN 0370-4106
NOMBERA L., José Antonio et al. Twelve cases of lung abscesses in children: a clinical review. Rev. chil. pediatr. [online]. 2001, vol.72, n.2, pp. 128-134. ISSN 0370-4106. doi: 10.4067/S0370-41062001000200007.
A lung abscess is defined as an area of suppuration that develops central necrosis and cavitation in the lung parenchyma, demonstrated either radiographically or pathologically. We report 12 patients with lung abscesses during a 10 year period between january 1990 and decembre 1999. The objective of our study was to define the presenting symptoms, clinical management and outcome. The patients ranged from 5 months to 8 years (mean 4.3 years) and 5 were male. The most common symptoms were fever, breathlessness, cough and malaise. 7 patients had received antibiotics just before admission. Routine laboratory tests obtained at admission showed in 10 cases leucocitosis (mean 20,136 cells/mm3), elvevated ESR ( mean 78 mm/h) and elevated CRP ( mean 31 mg/dl). The involvement was in the right upper lobe (7 cases), right lower lobe (2 cases), left lower lobe (2 cases) and right upper and lower lobes (1 case). Seven had a pleural effusion, 4 atelectasis and 2 pneumothorax. There were 4 organisms isolated, the most predominant being Streptococcus pneumoniae (1 mixed with Staphylococcus aureus) and Group A Streptococcus hemoliticus in one. All patients were treated with antibiotic therapy, 2 patients required lobectomy (1 patient had pulmonary sequestration and 1 a pulmonary cyst). Recovery was uneventful, the average hospital stay being 14.8 days. Complete radiological resolution occurred between 4 weeks and 3 months after discharge. We conclude that lung abscesses in children have a favourable outcome with complete clinical and radiological recovery with medical treatment in most cases
Palabras clave : lung abscess; lobectomy; necrotising pneumonia.