Necrotizing pneumonia

Abstract

A male patient of 44 years old with a personal pathological history of arterial hypertension. He was admitted for extrahospital pneumonia of right base, it was indicated antibiotic treatment and the evolution was favorable. After 15 days he was re-admitted because he had worsened, it was performed a computerized axial tomography of high-resolution of the thorax that reported, at the level of the lung bases, several bilateral and peripheral hyperdense images that took on nodular shape, in intimate contact with the pleura, with central cavitation. A tumor etiology was considered and a thoracotomy was performed; samples of the pleura and lung were taken for biopsy. At the autopsy, necrotizing pneumonia was found in resolution phase and a bilateral pulmonary thromboembolism of thick branches.

Keywords

• neumonía necrotizante
• toracotomía