Revista chilena de pediatría
versión impresa ISSN 0370-4106
CHATEAU I, BERNARDITA et al. Complicated Pneumonía with Pneumatocele in a infant: Case-report. Rev. chil. pediatr. [online]. 2008, vol.79, n.3, pp. 295-300. ISSN 0370-4106. doi: 10.4067/S0370-41062008000300008.
Introduction: Pneumatocele is an uncommon complication of pneumonía, most often asymptomatic with spontaneous resolution. Case-report: Female infant with an history of right upper lobe pneumonia, an air filled structure was noted in the chest X-ray. Asymptomatic until admitted for a wheezing episode, where an increase in the size of the structure was evidenced. She had clinical and radiological follow-up as recommended in a recent study, observing that 5 months later the cystic image was completely resolved. Discussion: According to criteria from published studies, this case is a non complicated pneumatocele because it was asymptomatic, compromised less than 50% of the hemithorax and no atelectasia, bronchopleural fístula or signs of infection were observed. Non complicated pneumatoceles can be followed up, and complicated can be treated by image guided catheter drainage or surgical resection. In this case, we confirmed spontaneous resolution after clinical and radiological follow-up
Palabras clave : Pneumonia; infant; complication; peumatocele.