Advanced Search
ORIGINAL ARTICLE
Korean J Pediatr 2015 December;58(12) :478-483.
Published online 2015 December 15.       
Clinical characteristics of lung abscess in children:15-year experience at two university hospitals
Mi Suk Choi1,2, Ji Hye Chun1, Kyung Suk Lee3, Yeong Ho Rha2, Sun Hee Choi1
1,2Department of Pediatrics, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea
2Department of Pediatrics, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul, Korea
3Department of Pediatrics, CHA Bundang Medical Center, CHA University, Seongnam, Korea
Corresponding Author: Sun Hee Choi ,Tel: +82-2-440-6278, Fax: +82-2-440-6295, Email: chsh0414@naver.com
Copyright © 2015 by The Korean Pediatric Society
ABSTRACT
Purpose: Information on the clinical features of lung abscess, which is uncommon in children, at hospitalization is helpful to anticipate the disease course and management. There is no report concerning lung abscess in Korean children. We aimed to identify the clinical characteristics of pediatric lung abscess and compare the difference between primary and secondary abscess groups.
Methods: The medical records of 11 lung abscess patients (7 males and 4 females) from March 1998 to August 2011 at two university hospitals were retrospectively reviewed. The clinical characteristics, symptoms, underlying disease, laboratory and radiologic findings, microbiological results, and treatments were examined.
Results: Six patients had underlying structural-related problems (e.g., skeletal anomalies). No immunologic or hematologic problem was recorded. The mean ages of the primary and secondary groups were 2.4 and 5.3 years, respectively, but the difference was not statistically significant. The mean length of hospital stay was similar in both groups (22.8 days vs. 21.4 days). Immunologic studies were performed in 3 patients; the results were within the normal range. Most patients had prominent leukocytosis. Seven and 4 patients had right and left lung abscess, respectively. Staphylococcus aureus,Streptococcus pneumoniae, and antimycoplasma antibodies were detected in both groups. Two patients with primary lung abscess were administered antibiotics in the absence of other procedures, while 8 underwent interventional procedures, including 5 with secondary abscess.
Conclusion: The most common symptoms were fever and cough. All patients in the primary group were younger than 3 years. Structural problems were dominant. Most patients required interventional procedures and antibiotics.
Keywords: Lung abscess | Child | Predisposing factor
TOOLS
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
Supplementary Material  Supplementary Material
  E-Mail
Share:      
METRICS
1,119
View
38
Download
Characteristics and prognosis of hepatic cytomegalovirus infection in children: 10 years of experience at a university hospital in Korea  2017 August;60(8)
Etiology and clinical characteristics of fever of unknown origin in children: a 15-year experience in a single center  2017 March;60(3)
Clinical features and prognostic factors in drowning children: a regional experience  2016 May;59(5)
Clinical characteristics of 2009 pandemic influenza A (H1N1) infection in children and the performance of rapid antigen test  2011 October;54(10)
Clinical characteristics and prevalence of vitamin D insufficiency in children less than two years of age  2011 July;54(7)
Register for e-submission
Register here to access the e-submission system of Korean J Pediatr for authors and reviewers.
Manuscript Submission
To submit a manuscript, please visit the Korean J Pediatr e-submission management system at http://submit.kjp.or.kr, read the Instructions for Authors, and log into the Korean J Pediatr e-submission system. For assistance with manuscript submission, please contact: kjpped@gmail.com.
Free archive
Anyone may access any past or current articles without logging in.
Korean Pediatric Society Office
#1606, Seocho World Officetel, 19 Seoun-ro, Seocho-gu, Seoul 137-070, Korea
TEL : +82-2-3473-7305    FAX : +82-2-3473-7307   E-mail: kjpped@gmail.com
BrowseCurrent IssueFor Authors and ReviewersAbout
Copyright© The Korean Pediatric Society. All right reserved.