Complicações graves em paciente pediátrico com pneumonia adquirida na comunidade: relato de caso

ABSTRACT Objective: To report a case of necrotizing pneumonia and compare its conduct with that found in literature. Case report: Pediatric female patient, 1 year and 7 months, referred from a secondary health service of a small city in the interior of Sao Paulo for our service with dry cough, fever and dyspnea. Upon physical examination, the patient presented with reduced vesicular murmur associated with left lung-based submacicez and ipsilateral apex hyperpanism. Chest tomography showed the presence of pneumothorax and images suggestive of cavitations. Patient was then submitted to resection of one third of the left lower lobe and received antibiotic therapy with Ceftriaxone and Oxacillin. Therapeutic failure took place, requiring a surgical approach. The patient evolved with improvement in laboratory and imaging results and antibiotic therapy was maintained for 21 days. Final considerations: Community-acquired pneumonia (CAP) has a high prevalence in the pediatric population and may evolve with various complications, including necrotizing pneumonia, characterized by necrotic formations in lung tissue due to an infectious process. Necrotizing pneumonia can evolve with severe complications for the patient, requiring efficiency in the management and treatment of the disease.