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Vol. 17. Issue 1.
Pages 31-33 (January - February 1981)
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Vol. 17. Issue 1.
Pages 31-33 (January - February 1981)
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Neumonia aguda gangrenosa y empiema por neumococos. Revision bibliografica
Acute grangrenous pneumonia and empyema by pneumococci. Review of medical literature
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T. Lloret Perez, J. Mitjans Lafont, M.a Dolores Catala Amoros, A. Damia Garcia
Servicio Neumología. Hospital Provincial. Valencia
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Resumen

Se presenta un caso de complicación gangrenosa y empiema en una neumonía neumocócica. Se describe el cuadro clínico y evolución del mismo, así como la feliz resolución tras la actitud quirúrgica.

Se pone de manifiesto la escasez de publicaciones al respecto en la literatura médica. Se cita un trabajo de autor que versa sobre infecciones pleuropulmonares por anerobios que nos confirma la excepcionalidad del neumococo como agente causal de neumonías necrotizantes.

Para terminar, se intenta una explicación patogenética del caso clínico presentado, haciendo alusión a los fenómenos de trombosis vasculares que ciertos autores señalan en sus trabajos sobre casos similares.

Summary

The authors present a case of gangrenous complication and empyema in penumococcal pneumonia. They describe the clinical picture and evolution of this case as well as its happy resolution after surgery.

They note the scarcity of publications on this picture published in medical literature. They cite one article which deals with pleuropulmonary infections by anaerobes which confirms the rarity of pneumococci as the causal agent of necrotizing pneumonias.

Finally, the authors try to explain the pathogenesis of the case they presented, referring to phenomena of vascular thrombosis which certain authors indicate in their works on similar cases.

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Bibliografia
[1.]
M. Bientz, J.C. Saltiel.
Supuraciones pulmonares.
Vie medical, 107 (1979), pp. 16
[2.]
J.G. Bartlett, S.M. Finegoldd.
Anaerobio infections of the lung and pleural space.
Am. Rev. Respir. Dis, 110 (1974), pp. 56
[3.]
A. Brewin.
High-Dose Penicillin Therapy and Pneumococal Pneumonia.
JAMA, 230 (1974), pp. 409
[4.]
J. Alban, D.L. Caloza.
Cephradine and cephalexin in the treatment of children with bacterial penumonia.
Current Therap. Res., 18 (1975), pp. 539
[5.]
J.L. Martinez Salinas.
Actitud quirúrgica ante el empiema pleural.
Arch. Bronconeumol., 15 (1979), pp. 141
[6.]
H. Beerens, A. Tacquet.
Manuel de Technique Bacteriologique.
3.a, Ed. Med. Flammarion, (1969),
[7.]
P.K. Danner.
Massive Pulmonary Gangrena.
Amer. J. Roengent., 103 (1968), pp. 548
[8.]
J. Humphreys.
Spontaneus Lobectomy.
Brit. M. J, 2.° (1945), pp. 185
Copyright © 1981. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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