Neumonía necrotizante por estafilococo

Abstract

In the present clinical case analysis, the case of a 20-year-old female patient, mixed race, single, higher education, student occupation, is described as a clinical personal pathological history of cutaneous abscess in the frontal region 30 days prior to hospital admission in treatment with dicloxacillin for 7 days, which goes to Riobamba General Hospital with dyspnoea and hypoxia, so it is necessary to enter the Intensive Care Unit in which ventilatory support is required ending with invasive tracheostomy measures after the presence of pneumothorax that requires thoracic tube placement. In imaging studies, multiple pneumatoceles are observed, in addition, cultures are performed where there is a multidrug-resistant S. Aureus (MRSA). Therefore, treatment with atypical antibiotics (Linezolid) is necessary, which improves the picture whose diagnosis definitive was necrotizing pneumonia. Necrotizing pneumonia (NN) corresponds to a rare complication of pulmonary infections and is characterized by the presence of necrotic tissue in the lung parenchyma whose appearance has a high mortality rate ranging from 30 to 75% of patients and varies according to the patient's condition and comorbidities presented.