Surgical Treatment of Acute Necrotizing Klebsiella Pneumonia: Two cases report.
- Author:
Kyung Min RYU
1
;
Sam Hyun KIM
;
Sung Sik PARK
;
Jae Wook RYU
;
Chang Hyu CHOI
;
Jae Suk PARK
;
Pil Won SEO
Author Information
1. Department of Thoracic and Cardiovascular surgery, College of Medicine, DanKook University.
- Publication Type:Case Report
- Keywords:
Pneumonia
- MeSH:
Anti-Bacterial Agents;
Aspergillus;
Gangrene;
Klebsiella pneumoniae;
Klebsiella*;
Lung;
Mortality;
Pneumonia*;
Sepsis;
Streptococcus pneumoniae;
Thorax
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1999;32(5):484-488
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Massive lung gangrene is a rare but very rapidly progressing fatal complication of lobar pneumonia. Etiologic agents are Klebsiella pneumoniae, Pneumococcus and Aspergillus, etc. Chest X-ray shows firm consolidation of the involved pulmonary lobe and bulging fissure due to the volume expansion of involved lung. CT-scan shows extensive lung parenchymal destructions with multiple small cavitary lesions. Recommended treatment is the early surgical intervention combined with antibiotics. Without surgical intervention, lung gangrene is known to progress toward sepsis, multiorgan failure, and high mortality. We report two cases of rapidly progressing massive lung gangrene by Klebsiella pneumonia treated by the resectional surgery.
