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Nascer e Crescer

versão impressa ISSN 0872-0754versão On-line ISSN 2183-9417


FERREIRA, Inês et al. Bronchopleural fistula in community-acquired pneumonia. Nascer e Crescer [online]. 2017, vol.26, n.1, pp.57-61. ISSN 0872-0754.

Bronchopleural fistula, although rare in infant and child, is one of the possible complications of community-acquired pneumonia. A two-years-old boy, previously healthy, with complete anti-pneumococcal vaccination, was hospitalized on the fifth day of illness with a community-acquired pneumonia complicated with empyema. A chest tube was placed in D7 with intra-pleural fibrinolytic administration. In D10 the chest drain was removed after suspicion of a brochopleural fistula. Chest tomography was consistent with necrotizing pneumonia complicated with bronchopleural fistula. Conservative treatment with broad spectrum antibiotic therapy was decided for six weeks, with a favorable outcome. At two years of follow-up he remained asymptomatic. The authors point out that, even in previously healthy children, community-acquired pneumonia may complicate with necrotizing pneumonia and bronchopleural fistula.

Palavras-chave : Community-acquired pneumonia; necrotizing pneumonia; bronchopleural fistula.

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