Primary pulmonary abscess is a rare but serious localized bacterial infection of the lung parenchyma, occurring without prior lung conditions like bronchiectasis or necrotizing pneumonia. We report the case of an 11-month-old child with a 22-day history of productive cough and fever, unresponsive to initial antibiotics. Clinical examination showed a stable, eupneic child with mild fever and reduced oxygen saturation. Imaging revealed a large mass in the right upper lung lobe, necessitating surgical intervention. A thoracotomy confirmed a pulmonary abscess, and cytobacteriological analysis identified a resistant Staphylococcus spp. Postoperative recovery was successful following tailored antibiotic therapy. This case highlights the importance of comprehensive evaluation and timely surgical management in treating primary pulmonary abscesses in children.
Keywords: abscess surgery; mch pediatric surgery; pediatric thoracic surgery; primary lung abscess; staphylococcal lung abscess; • lung abscess.
Copyright © 2024, Ayoub et al.