Unusual case of non-resolving necrotizing pneumonia: A last resort measure for cure

Naseem Salahuddin, Naila Baig-Ansari, Saulat Hasnain Fatimi

Research output: Contribution to journalArticlepeer-review


To our knowledge, this is an unusual case of a communityacquired pneumonia (CAP) with sepsis secondary to Streptococcus pneumoniae that required lung resection for a non-resolving consolidation. A 74 year old previously healthy woman, presented with acute fever, chills and pleuritic chest pain in Emergency Department (ED). A diagnosis of CAP was established with a Pneumonia Severity Index CURB-65 score of 5/5. In the ER, she was promptly and appropriately managed with antibiotics and aggressive supportive therapy. She remained on ten days of intravenous antibiotics. However, 48 hours post antibiotic course, she returned to ER with fever and signs of sepsis. Despite timely and appropriate management, the consolidated lobe remained the focus of sepsis for over four weeks. The patient recovered after the offending lobe was resected. Histopathology of the lung tissue revealed acute and chronic inflammation. However, no malignancy, bacterial infection or broncho-pleural fistula was found. Eighteen months post-surgery, the patient remains well.

Original languageEnglish
Pages (from-to)754-756
Number of pages3
JournalJournal of the Pakistan Medical Association
Issue number6
Publication statusPublished - Jun 2016


  • Community-acquired pneumonia
  • Lung resection
  • Necrotizing pneumonia
  • Nonresolving pneumonia
  • Strep pneumoniae


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