Case of necrotizing pneumonia in a 3-year-old child



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Abstract

One of the significant complications of community-acquired pneumonia in children is the destruction of lung tissue (necrotizing pneumoniae). The primary causative agents of necrotizing pneumonia are Streptococcus pneumoniae and Staphylococcus aureus. A case of necrotizing pneumonia in a 3-year-old child caused by a combination of Streptococcus pneumoniae, Mycoplasma pneumoniae, and Klebsiella pneumoniae is described. Сomputed tomography (CT) of the chest revealed an extensive area of lung tissue destruction with irregularly thickened walls at the level of segments 6–9 in the lower lobe of the right lung. Streptococcus pneumoniae antigen was detected in the urine. Antibodies to Mycoplasma pneumoniae were identified in the blood using serological methods. Klebsiella pneumoniae was isolated from sputum cultures. The patient showed positive clinical improvement with antibiotic therapy and was discharged on the 24-th day of illness. This case highlights the possibility of necrotizing pneumonia caused by a co-infection of Streptococcus pneumoniae, Mycoplasma pneumoniae, and Klebsiella pneumoniae.

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About the authors

Asiya Bulatova

Kazan State Medical University, Kazan, Russian Federation

Author for correspondence.
Email: Asiyakhaertynova@gmail.com
ORCID iD: 0000-0002-6167-1882
SPIN-code: 4490-1675

Phd, assistant of the Department of Infectious Diseases of the  "Kazan State Medical University" of the Ministry of Health of the Russian Federation

Russian Federation, 49 Butlerov street, 420111, Kazan, Russia

Irina V. Nikolaeva

Kazan State Medical University

Email: irinanicolaeva@mail.ru
ORCID iD: 0000-0003-0104-5895
SPIN-code: 4103-5663

MD, Dr Sci. (Med.), Professor

Russian Federation, Kazan

Zulfiya L. Khamidullina

Republican Clinical Infectious Diseases Hospital named after A.F. Agafonov

Email: khamidullinaZulfiya@mail.ru
ORCID iD: 0000-0002-9056-8964

M.D., Head of the department

Russian Federation, Kazan, Russia

Niyaz Z. Amerkhanov

Surgical department Republican children clinical hospital

Email: niyaz.amerkhanov@tatar.ru
ORCID iD: 0000-0003-3779-8135

заведующий отделением торакальной хирургии

Russian Federation, 420111, Kazan, str. Orenburgsky tract, 140

Ibragim U. Murtazaliev

Republican children clinical hospital, Kazan, Russian Federation

Email: Ibragim.Murtazaliev@tatar.ru
ORCID iD: 0009-0001-6823-0553

surgeon

Russian Federation, 420111, str. Orenburgsky tract, 140

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