Faculty mentor/PI email address
jim010@aol.com
Is your research Teaching and Learning based?
1
Keywords
necrotizing pneumonia, pneumonia, infectious disease, management of necrotizing pneumonia
Date of Presentation
5-6-2026 12:00 AM
Poster Abstract
Necrotizing pneumonia is an uncommon but severe complication of community-acquired pneumonia (CAP), characterized by progressive parenchymal liquefaction, cavitation, and destruction of normal lung architecture, and associated with significant morbidity and mortality. Clinicaly, early presentations may be indistinguishable from uncomplicated pneumonia (pna), with fever, cough, pleuritic chest pain, and dyspnea, which can delay recognition in the emergency department. Differential diagnosis for these symptoms is broad and includes uncomplicated pneumonia, septic emboli, lung abscesses, and pleural effusion. However, patients effected with necrotizing pneumonia often exhibit more severe systemic toxicity, rapid progression of respiratory failure, and hemodynamic instability. In this case report, we will discuss those elements, partly in the context of a 61-year-old male who presented to the Emergency Department (ED) with increased work up of breathing, shortness of breath, and fatigue, was subsequently intubated, and diagnosed with necrotizing pneumonia in the setting of streptococcus pneumonia bacteriemia.
Disciplines
Bacterial Infections and Mycoses | Medicine and Health Sciences | Respiratory Tract Diseases
Case Report: Necrotizing Pneumonia
Necrotizing pneumonia is an uncommon but severe complication of community-acquired pneumonia (CAP), characterized by progressive parenchymal liquefaction, cavitation, and destruction of normal lung architecture, and associated with significant morbidity and mortality. Clinicaly, early presentations may be indistinguishable from uncomplicated pneumonia (pna), with fever, cough, pleuritic chest pain, and dyspnea, which can delay recognition in the emergency department. Differential diagnosis for these symptoms is broad and includes uncomplicated pneumonia, septic emboli, lung abscesses, and pleural effusion. However, patients effected with necrotizing pneumonia often exhibit more severe systemic toxicity, rapid progression of respiratory failure, and hemodynamic instability. In this case report, we will discuss those elements, partly in the context of a 61-year-old male who presented to the Emergency Department (ED) with increased work up of breathing, shortness of breath, and fatigue, was subsequently intubated, and diagnosed with necrotizing pneumonia in the setting of streptococcus pneumonia bacteriemia.