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Introduction <p>Necrotizing pneumonia is a severe complication of community-acquired pneumonia in pediatric patients, characterized by destruction of lung parenchyma and cavitation. While most cases respond to antibiotic treatment, some require surgical intervention.</p> Case presentation <p>We report a 2-year and 11-month-old male without significant comorbidities who presented with persistent fever, cough, and respiratory distress. Despite broad-spectrum antibiotics and pleural drainage, clinical deterioration persisted. Imaging showed extensive consolidation and necrosis of the left lower lobe. A left lower lobectomy was performed with favorable postoperative evolution.</p> Discussion <p>Necrotizing pneumonia is a rare but serious condition in children that may require lobectomy when medical management fails. Early recognition and timely surgical intervention are critical to improve outcomes. Literature supports lobectomy as a safe and effective treatment in selected cases.</p> Conclusion <p>Lobectomy is a definitive therapeutic option in pediatric patients with necrotizing pneumonia and extensive lung involvement refractory to medical treatment.</p>

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Lobectomy as curative treatment for refractory severe pneumonia with pulmonary necrosis in childhood

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年10月17日

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  • Gutenberg Navarro Zambrano,
  • Jorge Pozo Obando,
  • Rommel Espinoza De Los Monteros,
  • Amaury León Sosa,
  • Romina Chávez Aguirre,
  • Jonathan Martínez Díaz

摘要

Introduction

Necrotizing pneumonia is a severe complication of community-acquired pneumonia in pediatric patients, characterized by destruction of lung parenchyma and cavitation. While most cases respond to antibiotic treatment, some require surgical intervention.

Case presentation

We report a 2-year and 11-month-old male without significant comorbidities who presented with persistent fever, cough, and respiratory distress. Despite broad-spectrum antibiotics and pleural drainage, clinical deterioration persisted. Imaging showed extensive consolidation and necrosis of the left lower lobe. A left lower lobectomy was performed with favorable postoperative evolution.

Discussion

Necrotizing pneumonia is a rare but serious condition in children that may require lobectomy when medical management fails. Early recognition and timely surgical intervention are critical to improve outcomes. Literature supports lobectomy as a safe and effective treatment in selected cases.

Conclusion

Lobectomy is a definitive therapeutic option in pediatric patients with necrotizing pneumonia and extensive lung involvement refractory to medical treatment.