Journal Information
Vol. 9. Issue 2.
Pages 161-172 (March - April 2003)
Share
Share
Download PDF
More article options
Vol. 9. Issue 2.
Pages 161-172 (March - April 2003)
CASO CLÍNICO/CLINICAL CASE
Open Access
Abcesso pulmonar na infância - uma doença rara. Casos clínicos
Lung abscess in infancy – a rare disease. Clinical cases
Visits
7831
Maria Augusta Machado1, Isolina Aguiar2, Teresa Nunes3, Luísa Guedes Vaz4
1 Interna Complementar de Pneumologia, Serviço de Pneumologia, Hospital de S. João
2 Interna Complementar de Pediatria, Departamento de Pediatria, Hospital de S. João
3 Assistente Hospitalar Graduada de Pediatria, Departamento de Pediatria, Hospital de S. João
4 Chefe de Serviço de Pediatria, Departamento de Pediatria, Hospital de S. João
This item has received

Under a Creative Commons license
Article information
RESUMO

O abcesso pulmonar é uma doença rara na infância, mas condiciona elevada morbilidade, obrigando a internamento hospitalar prolongado. Surge geralmente em crianças com factores de risco ou co-morbilidades associadas e responde bem à antibioterapia, raramente sendo necessário o recurso a técnicas de diagnóstico ou terapêutica invasivas.

Os autores apresentam dois casos de abcesso pulmonar de grandes dimensões, em crianças, uma delas com risco de aspiração associado, que resolveram completamente com tratamento antibiótico, e fazem uma revisão sobre esta entidade clínica na infância.

REV POR PNEUMOL 2003; IX (2): 161-172

Palavras-chave:
Abcesso pulmonar
Criança
ABSTRACT

Lung abscess is a rare entity in childhood, but leads to high morbidity and long length of hospitalisation. It appears commonly in children with risk factors or other disease, have a good response to antibiotic therapy and it is rarely necessary the use of invasive techniques.

Authors present two cases of lung abscess in children, one of them with risk factors to aspiration, that improved with antibiotic therapy and make a revision about this entity in infancy.

REV POR PNEUMOL 2003; IX (2): 161-172

Key-words:
Lung abscess
Child
Full text is only aviable in PDF
BIBLIOGRAFIA
[1.]
T.Q. Tan, D.K. Selleimer, S.L. Kaplan.
Pediatric Lung Abscess: clinical management and outcome.
Pediatr Infect Dis J, 14 (1995), pp. 51-55
[2.]
M.L. Moita.
Abcesso pulmonar.
Pneumologia na prática clínica, 3, pp. 531-545
[3.]
M.N. Abu-Hasan, P.K. Minifee, L.L. Fan.
Radiological case of the month.
Arch Pediatr Adolesc Med, 153 (1999), pp. 85-86
[4.]
R.C. Stern.
Pulmonary abscess.
Nelson Textbook of Pediatrics, 16th ed., pp. 1309-1310
[5.]
E. Brukheimer, S. Dolberg, Shlesingery, et al.
Primary lung abscess in infancy.
Pediatr Pulm, 19 (1995), pp. 188-191
[6.]
M.I. Asher, A.M. Leversha.
Lung abscess.
Kending’s disorders of the respiratory tract in children, 6, pp. 552-555
[7.]
I. Brook, J.M. Finegold.
Bacteriology of aspiration pneumonia in children.
Pediatrics, 65 (1980), pp. 1115-1120
[8.]
P.H. Mark, J.A.P. Turner.
Lung abscess in childhood.
Thorax, 23 (1968), pp. 216-220
[9.]
M.I. Asher, S. Spier, M. Beland, et al.
Primary lung abscess in childhood. The long-term outcome of conservative management.
Am J Dis Child, 136 (1982), pp. 491-494
[10.]
A.M. Kosloke, W.S. Ball Jr., C. Butler, et al.
Drainage of pediatric lung abscess by cough, catheter or complete resection.
J Pediatr Surg, 21 (1986), pp. 596-600
[11.]
F.A. Hoffer, D.A. Bloom, A.A. Colin, S.J. Fishman.
Lung abscess versus necrotizing pneumonia: implications for interventional therapy.
Pediatrc Radiology, 29 (1999), pp. 87-91
[12.]
H.L. Moffet.
Pneumonia syndromes.
Anonymous pediatric infectious disease, 3, pp. 146-196
[13.]
M.H. Wu, Y.L. Tseng, M.I. Lin, et al.
Surgical treatment of pediatric lung abscess.
Pediatr Surg Int, 12 (1997), pp. 293-295
[14.]
T.Q. Tan, D.K. Selleimer, S.L. Kaplan.
Pediatric lung abscess in infancy.
Pediatr pulm, 19 (1995), pp. 188-191
[15.]
K. Kobayashi.
Streptococcus milleri as a cause of pulmonary abscess.
Acta Paediatr, 90 (2001), pp. 233-234
[16.]
D. Siret, G. Picherot.
Pneumopathie à Mycoplasme pneumonie chez un enfant de quatre ans avec abcédation bulleuse transitoire de lobe inférieur droit.
Arch Pédiatr, 7 (2000), pp. 315-319
[17.]
V.L. Montgomery, D. Bratcher.
Complications as sociated with severe invasive Streptococcal syndrome.
J Pediatr, 129 (1996), pp. 602-604
[18.]
B. Emanuel, S.T. Shulman.
Lung abscess in infants and children.
Clin Pediatr, 34 (1995), pp. 2-6
[19.]
B.M. Rholfing, E.A. White.
Hilar and mediastinal adenopathy caused by bacterial abscess of the lung.
Radiology, 128 (1978), pp. 289-293
[20.]
R.E. Perez, F.J. Perez, M.F. Garcia, et al.
Pulmonary symptoms of primary immunodeficiency diseases.
An Esp Pediatr, 48 (1998), pp. 238-244
[21.]
D. Orenstein.
Emphysema and overinflation.
Nelson’s Textbook Pediatrics, 15, pp. 1227-1229
[22.]
Y.L. Tseng, M.H. Yu, M.Y. Lin, et al.
Surgery for lung abscess in immunocompetent and immunocompremised children.
J Pediatr Surg, 36 (2001), pp. 470-473
[23.]
J.S. Klein, Schultz, J.E. Heffner.
Interventional radiology of the chest imaging-guided percutaneous drainage of pleural effusions, lung abscess and pneumotarax.
AJR, 165 (1995), pp. 581-588
[24.]
D.M. Bamberger.
Outcome of medical treatment of bacterial abscesses without therapeutic drainage: review of cases reported in the literature.
Clin Infect Dis, 23 (1996), pp. 592-603
[25.]
R. Cuestas, G. Kienzleg, J. Armstrong.
Percutaneous drainage of lung abscess in enfants.
Pediatr Infect Dis J, 8 (1989), pp. 390-392
[26.]
M.K. Zudhi, R.M. Spear, H.M. Worthen, B.M. Peterson.
Percutaneous catheter drainage of tension pneumatocele, secondarily infected pneumatocele, and lung abscess in children.
Crit Care Med, 24 (1996), pp. 330-333
[27.]
P. Yang, Luhk, Y. Lee, et al.
Lung abscesses: US examination and US-guided transthoracic aspiration.
Radiology, 180 (1991), pp. 171-175
[28.]
V.P. Mccarthy, P. Patamasucon, T. Gaines, M.A. Lu Cas, et al.
Necrotizing Pneumoccoal pneumonia in childhood.
Pediatr Pulmonology, 28 (1999), pp. 217-221
[29.]
A. Yamanaka, T. Hirai, Y. Ohtake, et al.
Surgery for thoracic empyema concurrent with rupture of lung abscesses in a child.
J. Pediatr Surg, 9 (1998), pp. 1408-1410
[30.]
A.M. Kosloke, A.H. Cushing, J.M. Shuck.
Early decortication for anaerobic empyema in children.
J Pediatr Surg, 15 (1980), pp. 422-429
[31.]
K. Johansen, S. Hansen Jr..
Symmetrical peripheral gangrene (purpura fulminans) complicating pneumococcal sepsis.
Am J Surg, 165 (1993), pp. 624-645
[32.]
E. Kerem, B. Ziv, B. Rudenski, et al.
Bacteriemic necrotizing pneumococcal pneumonia in children.
Am J Respir crit care med, 149 (1994), pp. 242-244
[33.]
E.L. Tuomanen.
The biology of Pneumococcal infection.
Pediatr Res, 42 (1997), pp. 253-258
Copyright © 2003. Sociedade Portuguesa de Pneumologia/SPP
Download PDF
Pulmonology
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?