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J Pediatr Infect Dis 2014; 09(01): 023-025
DOI: 10.3233/JPI-140411
Case Report
Georg Thieme Verlag KG Stuttgart – New York

Tension pneumothorax following serotype-3 pneumococcal necrotizing pneumonia

Álvaro Díaz Conradi
a   Clinics of Pediatrics, Hospital Fundació Barcelona Nens, Barcelona, Spain
,
Ramon Clapés Ferran
a   Clinics of Pediatrics, Hospital Fundació Barcelona Nens, Barcelona, Spain
,
Anna Sangorrin Iranzo
a   Clinics of Pediatrics, Hospital Fundació Barcelona Nens, Barcelona, Spain
,
Adriana Cordon Torell
b   Clinics of Radiology, Hospital Fundació Barcelona Nens, Barcelona, Spain
,
Josep Marco Navarro
c   Department of Pediatric Surgery, Hospital Fundació Barcelona Nens, Barcelona, Spain
,
Carmen Muñoz-Almagro
d   Molecular Microbiology Laboratory, Hospital Sant Joan de Deu de Barcelona, Barcelona, Spain
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Publication History

03 June 2013

24 October 2013

Publication Date:
28 July 2015 (online)

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Abstract

Pneumococcal necrotizing pneumonia can lead to severe barotrauma resulting from air passage through a bronchopleural fistula. Here we present a case of a 15-month old infant who presented with a life-threatening tension pneumothorax that developed ten days after discharge from hospital after 14 days treatment with intravenous cefotaxime for pneumococcal empyema. The patient recovered full after urgent surgical decompression, and the fistula closed without further surgical intervention.

Keywords

Necrotizing pneumonia - pneumothorax - Streptococcus pneumoniae