infectious-diseases-2016_posters-accepted-abstracts

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Volume 4, Issue 4(Suppl) J Infect Dis Ther 2016
ISSN: 2332-0877, JIDT an open access journal
Page 100
Notes:
Infectious Diseases 2016
August 24-26, 2016
conferenceseries.com
August 24-26, 2016 Philadelphia, USA
&
Infectious DiseasesJoint Event on 2nd World Congress on
Pediatric Care & Pediatric Infectious Diseases
International Conference on
Necrotizing pneumonia
Luis Del Carpio Orantes
Mexican Social Security Institute, Mexico
Case Report: Male patient 36 years old with no history of importance except filing burn in your hands by electricity, admitted with
symptoms 20 days of evolution characterized by fever, cough and yellowish expectoration, being treated with common antimicrobials
previously, developed persistent fever so as right pleuritic pain, so entered, diagnosis protocol which only evinced leukocytosis of
13500/mm3 without respiratory, kidney or liver involvement starts. Smears are performed in series of 3 being negative, a first scan,
which reports pneumonic process 70% with diffuse cavitary lesions in addition to air bronchograms (March 14), started treatment
with imipenem and vancomycin is performed. The report cultivation expectoration was Staphylococcus epidermidis coagulase negative
resistant to vancomycin handling adjusted with linezolid, a second tomography was performed which demonstrated increased
cavitary, extended zones into the pleural cavity with multiple septums and fluid levels, so as destruction of lung parenchyma in middle
and lower lobe of the right lung (March 20); by poor evolution of painting it was decided to send chest surgery but was managed
conservatively, died after 5 days in the service management.
Conclusion: This case has clinical significance, since it illustrates the severity of necrotizing pneumonia, also aggressiveness with
coagulase-negative germs, referred to as nosocomial pathogens emergency epidemiological displayed. The importance of pulmonary
tomography for the diagnosis and therapeutic decisions also emphasized that in this case was fully indicated the surgical management,
primodial mainstay of treatment of necrotizing pneumonia, combined with the antimicrobial medical treatment.
Biography
Luis Del Carpio Orantes is a Medical Specialist in Internal Medicine and also an Internist in Mexican Social Security Institute. He is assigned to ICU Internist, D’Maria
Hospital and he is also an Expert Columnist for the Iberoamerican Society of Scientific Information with the theme of emerging viruses. He has published articles related to
intensive care (negative pressure pulmonary edema and disseminated intravascular coagulation in the ICU) and epidemiology, regarding dengue, zika, chikungunya and
influenza which can be referred in PubMed and other index. He is an Independent Researcher, projects a research on the treatment of dengue.
Luis Del Carpio Orantes, J Infect Dis Ther 2016, 4:4(Suppl)