Surgery for lung abscess in immunocompetent and immunocompromised children☆
Section snippets
Materials and methods
Between July 1988 and December 1999, pediatric patients (less than 16 years old) with pathologically documented lung abscess or necrotizing pneumonia at the National Cheng Kung University Hospital, Tainan, Taiwan were enrolled into this study. They were divided into 2 groups.
Group 1 consisted of immunocompetent patients. Five of them had associated underlying diseases of premature with respiratory distress syndrome, glucose-6-phosphate dehydrogenase deficiency, congenital cystic adenomatoid
Results
In this study series, there were 30 patients including 23 immunocompetent (group 1) and 7 immunocompromised (group 2) patients. Sex incidence showed predominance of male (M, 14; F, 9) and female (M, 1; F, 6) in group 1 and group 2, respectively. The average age was 3.3 years (range, 1 month to 13.9 years) on group 1, in which only 2 patients were older than 5 years. The average age was 10.9 years (range, 4 to 14.8 years) on group 2, in which 6 were older than 7 years.
The interval between
Discussion
Moore and Battersby1 and Mark and Turner2 reported the largest series of lung abscess; since then, pediatric lung abscess surgically treated were reported sporadically. Herein, we report this series to evaluate the presence of any significant differences during these past years.
Therapeutic options in lung abscess include conservative treatment, transcutaneous needle aspiration, bronchoscopic drainage, transbronchial or transthoracic catheter drainage, and surgery. Conservative management of
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Address reprint requests to Ming-Ho Wu, MD, Department of Surgery, National Cheng Kung University Hospital, No. 138, Sheng-Li Road, Tainan, Taiwan, Republic of China.