Hydropneumothorax as a complication of necrotizing pneumonia.

Germs

MD, PhD Internal Medicine Department, University Hospital of Heraklion, Heraklion, Greece, PC 71110, and School of Medicine, University of Crete, Heraklion, Greece, PC 71003.

Published: December 2023

Introduction: Hydropneumothorax with a bronchopleural fistula is an infrequent but severe complication of necrotizing pneumonia associated with high morbidity and mortality. Few cases in the adult population have been reported.

Case Report: This is a case of a 76-year-old male patient who developed pneumonia caused by and complicated by hydropneumothorax. He was managed conservatively with chest tube placement but denied surgical management and eventually died despite initial improvement.

Conclusions: Early recognition and appropriate management of pneumonia complications, such as hydropneumothorax, including thoracic surgeon interventions, are crucial as this complication can be fatal. Factors like the patient's overall status, preferences, and comorbidities may have a crucial effect on clinical decisions and outcomes.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10866169PMC
http://dx.doi.org/10.18683/germs.2023.1402DOI Listing

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