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Canadian Respiratory Journal
Volume 15, Issue 3, Pages 129-132
Case Report

Necrotizing Pneumonia Complicated by Early and Late Pneumatoceles

Suhail Al-Saleh,1 Hartmut Grasemann,1 and Peter Cox2

1Division of Respiratory Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada
2Division of Critical Care Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada

Copyright © 2008 Hindawi Publishing Corporation. 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.


Community-acquired pneumonia generally has a benign course when treated, but can be complicated by pleural effusion, empyema, lung abscesses, necrotizing pneumonia or pneumatoceles. Pneumatoceles can cause cardiorespiratory compromise requiring urgent intervention. A child with a severe necrotizing pneumonia, as well as a large early pneumatocele complicating mechanical ventilation, is presented. While pneumonectomy resulted in transient improvement, the course was further complicated by multiple late occurring pneumatoceles that ultimately led to the patient’s death.