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GERMS
Volume 13
Issue 4
10.18683/germs.2023.1402
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GERMS is published by MDPI from Volume 25 Issue 4 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with the former publisher Infection Science Forum S.R.L..
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Case Report

Hydropneumothorax as a Complication of Necrotizing Pneumonia

by
Andria Papazachariou
1,
Eleni Papadokostaki
1,
Despoina Kypraiou
1,
Vironas Malikides
1,
Ioanna Papakitsou
1,
Theodosios D Filippatos
1,2,
Petros Ioannou
1,2,* and
Diamantis P Kofteridis
1,2
1
Internal Medicine Department, University Hospital of Heraklion, Heraklion, PC 71110, Greece
2
School of Medicine, University of Crete, Heraklion, PC 71003, Greece
*
Author to whom correspondence should be addressed.
GERMS 2023, 13(4), 332-337; https://doi.org/10.18683/germs.2023.1402
Submission received: 14 August 2023 / Revised: 21 October 2023 / Accepted: 23 October 2023 / Published: 31 December 2023
Versions Notes

Abstract

Introduction: Hydropneumothorax with a bronchopleural fistula is an infrequent but severe complication of necrotizing pneumonia associated with high morbidity and mortality. Few cases in the adult population have been reported. Case report: This is a case of a 76-year-old male patient who developed pneumonia caused by Pseudomonas aeruginosa and Klebsiella pneumoniae complicated by hydropneumothorax. He was managed conservatively with chest tube placement but denied surgical management and eventually died despite initial improvement. Conclusions: Early recognition and appropriate management of pneumonia complications, such as hydropneumothorax, including thoracic surgeon interventions, are crucial as this complication can be fatal. Factors like the patient’s overall status, preferences, and comorbidities may have a crucial effect on clinical decisions and outcomes.
Keywords: hydropneumothorax; necrotizing pneumonia; bronchopleural fistula hydropneumothorax; necrotizing pneumonia; bronchopleural fistula

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MDPI and ACS Style

Papazachariou, A.; Papadokostaki, E.; Kypraiou, D.; Malikides, V.; Papakitsou, I.; Filippatos, T.D.; Ioannou, P.; Kofteridis, D.P. Hydropneumothorax as a Complication of Necrotizing Pneumonia. GERMS 2023, 13, 332-337. https://doi.org/10.18683/germs.2023.1402

AMA Style

Papazachariou A, Papadokostaki E, Kypraiou D, Malikides V, Papakitsou I, Filippatos TD, Ioannou P, Kofteridis DP. Hydropneumothorax as a Complication of Necrotizing Pneumonia. GERMS. 2023; 13(4):332-337. https://doi.org/10.18683/germs.2023.1402

Chicago/Turabian Style

Papazachariou, Andria, Eleni Papadokostaki, Despoina Kypraiou, Vironas Malikides, Ioanna Papakitsou, Theodosios D Filippatos, Petros Ioannou, and Diamantis P Kofteridis. 2023. "Hydropneumothorax as a Complication of Necrotizing Pneumonia" GERMS 13, no. 4: 332-337. https://doi.org/10.18683/germs.2023.1402

APA Style

Papazachariou, A., Papadokostaki, E., Kypraiou, D., Malikides, V., Papakitsou, I., Filippatos, T. D., Ioannou, P., & Kofteridis, D. P. (2023). Hydropneumothorax as a Complication of Necrotizing Pneumonia. GERMS, 13(4), 332-337. https://doi.org/10.18683/germs.2023.1402

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