Year: 2025
Type: article
Study design: Case Report
Abstract: Necrotizing pneumonia, a rare but severe complication of community-acquired pneumonia, can mimic lung tumours. This case report highlights the importance of early diagnosis using contrast-enhanced chest CT scans and a multidisciplinary approach to prevent misdiagnosis that can increase morbidity and mortality. A 57-year-old male presented with severe respiratory symptoms, including haemoptysis and weight loss. The patient was initially misdiagnosed with lung cancer due to a necrotic mass based on imaging. Subsequent biopsies revealed no signs of malignancy. A multidisciplinary team concluded that the findings suggested necrotizing pneumonia rather than a lung tumour. The patient was successfully treated with antibiotics, leading to significant improvement. This case highlighted the importance of accurate and timely diagnosis in managing necrotizing pneumonia, particularly when it mimics malignancy. Early recognition, supported by appropriate diagnostic tools and targeted antibiotic therapy, is crucial for appropriate management of necrotizing pneumonia and achieving positive outcomes. A multidisciplinary approach is essential to ensure comprehensive care, prevent misdiagnosis and avoid unnecessary treatments. Prompt and precise intervention can significantly enhance patient prognosis and reduce the risk of complications associated with necrotizing pneumonia.
Source: Respirology Case Reports
DOI: 10.1002/rcr2.70264
Institutions: Universitas Airlangga, Rumah Sakit Dokter Soetomo
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,130
Funder: Universitas Airlangga
OpenAlex ID: W4412120060