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이근영 ( Keun Young Lee ),임선정 ( Sun Jeong Yim ),윤종서 ( Jong Seo Yoon ),한지환 ( Ji Whan Han ),이준성 ( Joon Sung Lee ) 대한소아알레르기호흡기학회 2006 소아알레르기 및 호흡기학회지 Vol.16 No.1
Necrotizing pneumonia is a complication of severe, sometimes fatal, lobar pneumonia that leads to extensive necrosis of lung parenchyme. The plain chest X-ray shows many small lucencies and pneumatoceles while the chest CT demonstrates cavities, that do not show contrast enhancement. Major bacteriae that cause necrotizing pneumonia are anaerobes in immune deficient patients and nosocomial infections, and Streptococcus pneumoniae and Mycoplasma pneumoniae in children of healthy environments. Cases of Necrotizing pneumonia in children, unlike those observed in adults, show less need for invasive surgery and lead to a favorable outcome once an early diagnosis is made and a course of appropriate antibiotics is initiated. Empirical antibiotic treatment is important because the specific causative agent may not be found. We report two cases of successful treatment of healthy children who had lung abscesses combined with extensive necrotizing pneumonia. [Pediatr Allergy Respir Dis(Korea) 2006;16:71-78]