2019, Number 41
Necrotizing pneumonia in patient with Diabetes Mellitus
Language: Spanish
References: 7
Page: 22-25
PDF size: 738.87 Kb.
ABSTRACT
Introduction. Necrotizing pneumonia (NP) is a rare but extremely serious complication of a primary pneumonic infection. It is characterized by pulmonary consolidation and the appearance of multiple cavities and parenchymal necrosis.Clinical case. A 36-year-old female patient with a history of diabetes mellitus and poor adherence to treatment. Who begins two months earlier with intermittent non-productive cough, which progresses over time to productive purulent, with intensification of the picture adding dyspnea to medium efforts. Therefore, she decided to go to the emergency department for evaluation and treatment, performing posteroanterior radiography and computerized axial tomography finding data suggestive of pneumonia.
Conclusion. It is important to make an early diagnosis and management to avoid serious complications and sequelae of the condition, since in advanced stages radical treatments undermine the quality of life of the patient.
REFERENCES
Báez-Saldaña R, Gómez-Zamora C, López-Elizondo C, Molina-Corona H, Santillán-Martínez A, Sánchez-Hernández J, et al. Neumonía adquirida en la comunidad. Revisión y actualización con una perspectiva orientada a la calidad de la atención médica. Neumol Cir Torax [Internet]. 2013 [citado 25 mayo 2019];72(1):6-43. Disponible en: https://www.medigraphic.com/cgibin/ new/resumen.cgi?IDARTICULO=40216
Badager JA, Santillana SP, Caribay HJ, Gómez E, Meneses CL, Torres L, et al. Guía de práctica clínica: Prevención, diagnóstico y tratamiento de la neumonía adquirida en la comunidad en adultos. CENETEC. 2009. Disponible en: http://www.cenetec.salud.gob.mx/descargas/gpc/CatalogoMaestro/234_ IMSS_09_Neumonia_comunidad_adultos/ER_IMSS_234_9.pdf
Masters IB, Isles AF, Grimwood K. Necrotizing pneumonia: an emerging problem in children? [Internet]. Pneumonia (Nathan). 2017 [citado 15 de mayo 2019]; Jul 25;9:11. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC5525269/ doi: 10.1186/s41479-017-0035-0. PubMed PMID: 28770121; PubMed Central PMCID: PMC5525269.