However, pneumonia remains the leading cause of mortality among children under 5 years of age in the developing world (rudan, tomaskovic, boschi-pinto, campbell, & who child health epidemiology reference group, 2004) complicated pneumonias are characterized as either suppurative lung paranchymal complications or pleural complications. Lobar pneumonia (also known as non-segmental pneumonia or focal non-segmental pneumonia 7) is a radiological pattern associated with homogenous, fibrinosuppurative consolidation of one or more lobes of a lung in response to bacterial pneumonia . Follow-up radiography should be performed in infants and children who have complicated pneumonia with worsening respiratory distress or who are clinically unstable, or in patients with persistent . Imaging examinations of complicated pneumonias in children antonella cheåÿcäƒ 1, carmen oå£elea 2, domnica säƒvescu 3, ma moga 1, s toma 1, daniela diaconescu 1 summary introduction: within the context of an increasing pulmonary pathology incidence in young ages, this study aims at presenting complicated pneumonia cases in children.
Necrotising pneumonia (np) is a severe complication of community-acquired pneumonia characterised by liquefaction and cavitation of lung tissue the present study describes the epidemiology, aetiology, management and outcomes of children hospitalised with np over a 15-yr period. However, ct should not be regarded as a routine investigation in children and examinations should always be tailored to solve questions not answered by less sophisticated investigations the risk/benefit ratio of a ct examination in a child should be evaluated in each individual case. The epidemiology of pneumonia is changing chest radiographs and routine laboratory testing are unnecessary for routine diagnosis of community-acquired pneumonia in children who are candidates for outpatient treatment.
Children undergoing chemotherapy or chronic steroid use sickle cell disease trauma lung abscess or pneumatocele extensive co-morbidities diagnostic evaluation: history and physical examination may be suggestive of complicated bacterial pneumonia but chest radiography should be used to confirm presence of pleural effusion. Imaging in immunocompetent children who have pneumonia imaging examinations of complicated pneumonias in children this study aims at presenting complicated pneumonia cases in children . • most cases of pneumonia in healthy children can be managed on an outpatient basis 30 • although viruses cause most community-acquired pneumonias in young children, in most situations experts recommend empirical treatment for the most probable treatable causes.
Complicated pneumonias with empyema and/or pneumatocele in children pediatr surg int 2006 22:186 ceruti e, contreras j, neira m staphylococcal pneumonia in childhood. Prospective evaluation of point-of-care ultrasonography for the diagnosis of pneumonia in children and young adults jama pediatrics 167 : 119 - 125 swingler gh , hussey gd , zwarenstein m 1998 . The overarching goal of this article is to review cause, role of imaging, imaging techniques, and the spectrum of acute and chronic pneumonias in children pneumonia in the neonate and immunocompromised host is also discussed. In this period, age is a differentiating feature, as round pneumonias and even lobar pneumonias are exceedingly rare in the first few months of life cpam type 3, because of its microcystic nature, typically presents as a round, solid mass most similar to a round pneumonia. Cavitating pneumonia is a complication that can occur with a severe necrotising pneumonia and in some publications it is used synonymously with the latter term 2 it is a rare complication in both children and adults.
Operative imaging included chest radiography in 25 sion5 approximately 06% of pneumonias in chil-dren are complicated by empyema, and the early video . Lung ultrasound in the diagnosis of pneumonia in children: proposal for a radiography only in severe or complicated cases was found in 26 of the 28 pneumonias . Imaging examinations of complicated pneumonias in children september 2011 archives of the balkan medical union introduction: within the context of an increasing pulmonary pathology incidence in young ages, this study aims at presenting complicated pneumonia cases in children. Radiological imaging will narrow the differential diagnosis of direct additional diagnostic measures and serve as an ideal tool for follow-up examinations introduction pneumonia is a major cause of morbidity and mortality in adult patients.
Complete recovery of pulmonary lung function with normalization of the cxr is expected in the majority of children with complicated pneumonias in a small number of patients, lung function testing has revealed minor abnormalities of both a mild restrictive  and mild obstructive  nature, although even these patients demonstrated normal exercise tolerance. Lung ultrasound in the diagnosis of pneumonia in children: proposal for a new diagnostic algorithm to promote a new diagnostic imaging algorithm for pneumonia . Imaging examinations may also reveal underlying diseases that result in pneumonia or complications chest radiography is usually enough to confirm the diagnosis of pneumonia and to evaluate treatment effects, whereas computed tomography (ct) is required to suggest causative pathogens, to exclude noninfectious pneumonia and to reveal underlying diseases.
Imaging examinations of complicated pneumonias in children original paper imaging examinations of complicated pneumonias in children antonella cheåÿcäƒ1, carmen oå£elea2, domnica säƒvescu3, ma moga1 . The purpose of our study was to compare chest ultrasound and chest ct in children with complicated pneumonia and parapneumonic effusionmaterials and methods we retrospectively compared chest ultrasound and chest ct in 19 children (nine girls and 10 boys age range, 8 months–17 years) admitted with complicated pneumonia and parapneumonic effusion between december 2006 and january 2009. Complete recovery of pulmonary lung function with normalization of the cxr is expected in the majority of children with complicated pneumonias in a small number of patients, lung function testing has revealed minor abnormalities of both a mild restrictive ( 20 ) and mild obstructive ( 21 ) nature, although even these patients demonstrated normal exercise tolerance.