Tension Pneumatocele due to Enterobacter gergoviae Pneumonia: A Case Report

Pneumatocele formation is a known complication of pneumonia. Very rarely, they may increase markedly in size, causing cardiorespiratory compromise. Many organisms have been implicated in the pathogenesis of this disease; however, this is the first report of tension pneumatocele resulting from Entero...

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Main Authors: Emeka B. Kesieme, Chinenye N. Kesieme, George O. Akpede, Kelechi E. Okonta, Andrew E. Dongo, Adewuyi M. Gbolagade, Sylvester U. Eluehike
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2012/808630
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author Emeka B. Kesieme
Chinenye N. Kesieme
George O. Akpede
Kelechi E. Okonta
Andrew E. Dongo
Adewuyi M. Gbolagade
Sylvester U. Eluehike
author_facet Emeka B. Kesieme
Chinenye N. Kesieme
George O. Akpede
Kelechi E. Okonta
Andrew E. Dongo
Adewuyi M. Gbolagade
Sylvester U. Eluehike
author_sort Emeka B. Kesieme
collection DOAJ
description Pneumatocele formation is a known complication of pneumonia. Very rarely, they may increase markedly in size, causing cardiorespiratory compromise. Many organisms have been implicated in the pathogenesis of this disease; however, this is the first report of tension pneumatocele resulting from Enterobacter gergoviae pneumonia. We report a case of a 3-month-old Nigerian male child who developed two massive tension pneumatoceles while on treatment for postpneumonic empyema due to Enterobacter gergoviae pneumonia. Tube thoracostomy directed into both pneumatocele resulted in complete resolution and recovery. Enterobacter gergoviae is a relevant human pathogen, capable of causing complicated pneumonia with fatal outcome if not properly managed. In developing countries where state-of the-art radiological facilities and expertise for prompt thoracic intervention are lacking, there is still room for nonoperative management of tension pneumatocele especially in very ill children.
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institution Kabale University
issn 1687-9627
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language English
publishDate 2012-01-01
publisher Wiley
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series Case Reports in Medicine
spelling doaj-art-676fa4fcbb6c44a585ea6bbd6a5ac9f02025-02-03T01:23:12ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/808630808630Tension Pneumatocele due to Enterobacter gergoviae Pneumonia: A Case ReportEmeka B. Kesieme0Chinenye N. Kesieme1George O. Akpede2Kelechi E. Okonta3Andrew E. Dongo4Adewuyi M. Gbolagade5Sylvester U. Eluehike6Department of Surgery, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, NigeriaDepartment of Paediatrics, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, NigeriaDepartment of Paediatrics, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, NigeriaDepartment of Surgery, University College Hospital, Ibadan, NigeriaDepartment of Surgery, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, NigeriaDepartment of Medical Microbiology, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, NigeriaDepartment of Radiology, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, NigeriaPneumatocele formation is a known complication of pneumonia. Very rarely, they may increase markedly in size, causing cardiorespiratory compromise. Many organisms have been implicated in the pathogenesis of this disease; however, this is the first report of tension pneumatocele resulting from Enterobacter gergoviae pneumonia. We report a case of a 3-month-old Nigerian male child who developed two massive tension pneumatoceles while on treatment for postpneumonic empyema due to Enterobacter gergoviae pneumonia. Tube thoracostomy directed into both pneumatocele resulted in complete resolution and recovery. Enterobacter gergoviae is a relevant human pathogen, capable of causing complicated pneumonia with fatal outcome if not properly managed. In developing countries where state-of the-art radiological facilities and expertise for prompt thoracic intervention are lacking, there is still room for nonoperative management of tension pneumatocele especially in very ill children.http://dx.doi.org/10.1155/2012/808630
spellingShingle Emeka B. Kesieme
Chinenye N. Kesieme
George O. Akpede
Kelechi E. Okonta
Andrew E. Dongo
Adewuyi M. Gbolagade
Sylvester U. Eluehike
Tension Pneumatocele due to Enterobacter gergoviae Pneumonia: A Case Report
Case Reports in Medicine
title Tension Pneumatocele due to Enterobacter gergoviae Pneumonia: A Case Report
title_full Tension Pneumatocele due to Enterobacter gergoviae Pneumonia: A Case Report
title_fullStr Tension Pneumatocele due to Enterobacter gergoviae Pneumonia: A Case Report
title_full_unstemmed Tension Pneumatocele due to Enterobacter gergoviae Pneumonia: A Case Report
title_short Tension Pneumatocele due to Enterobacter gergoviae Pneumonia: A Case Report
title_sort tension pneumatocele due to enterobacter gergoviae pneumonia a case report
url http://dx.doi.org/10.1155/2012/808630
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