Necrotizing Pneumonia and Conservative Treatment: A Case Report and Review of the Literature

作     者：Pedro Rogerio Magalhães Braga Eduarda Kipper Beck Carolina de Mello Viera Cecília Gatti Wolff Laura Gazal Passos Guilherme Bastos de Mello Luis Felipe Pilar Gomes Giacomo Farias Tramontin Taíse Rosa de Carvalho Pedro Rogerio Magalhães Braga;Eduarda Kipper Beck;Carolina de Mello Viera;Cecília Gatti Wolff;Laura Gazal Passos;Guilherme Bastos de Mello;Luis Felipe Pilar Gomes;Giacomo Farias Tramontin;Taíse Rosa de Carvalho

作者机构：Department of Internal Medicine Hospital So Lucas da PUCRS Porto Alegre Brazil School of Medicine Pontifcia Universidade Catlica do Rio Grande do Sul Porto Alegre Brazil Department of Radiology Hospital So Lucas da PUCRS Porto Alegre Brazil 

出 版 物：《Open Journal of Respiratory Diseases》 (呼吸病期刊（英文）)

年 卷 期：2024年第14卷第3期

页      面：69-76页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Respiratory Tract Infections Lung Disease Bacterial Pneumonia 

摘      要：We present a case of necrotizing pneumonia in an 87-year-old man without severe respiratory instability. Clinical suspicion arose due to the need for supplementary oxygen and persistent fever during treatment for community-acquired pneumonia. The diagnosis was confirmed by chest computed tomography. Although necrotizing pneumonia typically requires major surgical intervention upon diagnosis, we chose conservative management with antimicrobials and chest drainage alone. The patient experienced significant improvement and resolution of pneumonia with conservative management.