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July 1961

Staphylococcal Pneumonia: Surgical Considerations in Cases in Infants and Children

Author Affiliations

From the Department of Surgery, St. Louis University.

Arch Surg. 1961;83(1):93-97. doi:10.1001/archsurg.1961.01300130097011

The serious morbidity and mortality of staphylococcal pneumonia in infants and children is associated with a high incidence of complications requiring surgical management. These complications include tension pneumatocele, residual pneumatocele, pneumothorax, and acute and chronic empyema.2,11,12,14,24 Although the management of such complications has been repeatedly discussed in the past,* further emphasis is justified by the current, relatively greater, incidence of staphylococcal pneumonia3,11-13 and the desirability of prompt definitive management of these patients by a broad segment of the profession.18 A review of 12 recent instances of complicated staphylococcal pneumonia provides material to illustrate the importance of early drainage for such complications.

We shall not attempt a detailed presentation of the clinical picture in each of the 12 patients. They varied in age from one month to 4 years, all but one being less than a year old, with an average age of 9 months. All showed empyema