Successful Medical Management of Pulmonary Gangrene in a Transplanted Lung.

Transplantation proceedings Pub Date : 2024-11-01 Epub Date: 2024-11-03 DOI:10.1016/j.transproceed.2024.10.025
Jodi Kurtz, Connor Maloney, Tracy Eastman, Erin Lowery
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Abstract

Pulmonary gangrene (PG) is a potentially devastating complication of necrotizing pneumonia. We describe successful nonsurgical management of PG in a lung transplant recipient. The patient presented with symptoms and imaging consistent with pneumonia. Bronchoalveolar lavage cultures demonstrated polymicrobial growth and antibiotic treatments were tailored. Imaging demonstrated a large cavitary lesion with intracavitary lung tissue consistent with PG. Prolonged antibiotic therapy resulted in clinical improvement and radiographic resolution.

成功医治移植肺的肺坏疽。
肺坏疽(PG)是坏死性肺炎的一种潜在破坏性并发症。我们描述了一名肺移植受者非手术治疗肺坏疽的成功案例。患者的症状和影像学表现与肺炎一致。支气管肺泡灌洗液培养显示有多微生物生长,并进行了针对性的抗生素治疗。影像学检查显示患者有一个大的腔隙性病变,腔隙内的肺组织与 PG 一致。经过长时间的抗生素治疗后,患者的临床症状有所改善,影像学检查结果也有所改善。
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