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Case Reports in Medicine
Volume 2012, Article ID 808630, 3 pages
http://dx.doi.org/10.1155/2012/808630
Case Report

Tension Pneumatocele due to Enterobacter gergoviae Pneumonia: A Case Report

1Department of Surgery, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, Nigeria
2Department of Paediatrics, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, Nigeria
3Department of Surgery, University College Hospital, Ibadan, Nigeria
4Department of Medical Microbiology, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, Nigeria
5Department of Radiology, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, Nigeria

Received 19 May 2012; Accepted 4 September 2012

Academic Editor: S. A. Sahn

Copyright © 2012 Emeka B. Kesieme et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.