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Report of a Case of Necrotizing Pneumonia in a Child with Human Metapneumovirus
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Gh Soleimani    , S Yaghoubi * |
| 1.Children and Adolescents Health Research Center, Research Institute of Cellular and Molecular Science in Infectious Diseases, Zahedan University of Medical Sciences, Zahedan, I.R.Iran. , yaghoubimd@yahoo.com |
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Abstract: (9 Views) |
Background and Objective: Human metapneumovirus (HMPV) is a respiratory pathogen that causes lower respiratory tract infections in children and adults. Necrotizing pneumonia occurs rarely in children but may be associated with significant complications. This study aims to report a case of necrotizing pneumonia in a child infected with human metapneumovirus.
Case Report: A 1 year and 11 month old female patient was admitted to the hospital with complaints of fever, malaise, and cough for 2 weeks before presentation. On examination, she had respiratory distress, and spiral CT scan of the lungs showed severe subcutaneous emphysema in the soft tissue of the neck and right hemithorax and right upper limb, as well as emphysema in the deep space of the neck and mediastinum, along with bronchiectatic and cavitary changes in favor of necrotizing pneumonia. Nasopharyngeal swab was positive for human metapneumovirus. Due to the lack of clinical response, the patient was considered a candidate for thoracotomy and the purulent fluid containing intrapleural debris was suctioned, the peripulmonary plexus was released, adhesions to the diaphragm were separated, lung decortication was performed, and a bilateral chest tube was inserted. One week after surgery, due to the patient's appropriate clinical response, cessation of fever, and resolution of respiratory distress, the chest tube was removed and the patient was discharged with oral antibiotics.
Conclusion: Based on the results of this case report, clinical suspicion of necrotizing pneumonia should be considered in patients with human metapneumovirus who do not respond to supportive care. |
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| Keywords: Human Metapneumovirus, Necrotizing Pneumonia, Children. |
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Type of Study: case report |
Subject:
Children
Received: 2025/05/6 | Accepted: 2025/07/29
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