A case of empyema secondary to necrotizing pneumonia successfully treated with broad- spectrum antibiotics and fibrinolytic therapy in the early period

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Abstract
Necrotizing pneumonia is a rare complication of bacterial lung infections, and host factors and the virulence of the microorganism are effective in its emergence. The most common microorganisms involved in etiology are Staphylococcus aureus, Streptococcus pyogenes, Klebsiella pneumonia, Nocardia and Streptococcus pneumonia . Patients may present with high fever, rapidly progressing respiratory distress, cough, hemoptysis and rapid deterioration in radiological findings. Necrotizing pneumonia heals without sequelae in healthy children. However, in a small number of cases, it may be complicated by lung abscess, empyema, pneumatocele or bronchopleural fistula. A case of necrotizing pneumonia successfully treated with fibrinolytic therapy applied in the early period is presented here.

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