# A Case of Necrotizing Pneumonia Complicated by Hydropneumothorax

## TL;DR

A 58-year-old man with asthma developed severe lung infection and fluid-air in the chest cavity, requiring surgery to recover.

## Contribution

This case highlights the management and successful surgical treatment of necrotizing pneumonia complicated by hydropneumothorax.

## Key findings

- CT scan revealed cavitating consolidation with hydropneumothorax in a patient with asthma.
- Surgical intervention including lobectomy and decortication improved the patient's condition.
- The patient was discharged in good health after surgery.

## Abstract

We present a case of a 58-year-old man who had asthma and developed necrotizing pneumonia (NP). The Computed Tomography (CT) scan of his chest showed cavitating consolidation with hydropneumothorax. Despite chest tube insertion and antibiotics, the patient did not improve. Therefore, surgical intervention was considered, and he underwent a right posterior-lateral thoracotomy, with middle lobe lobectomy, and decortication. As a result, the patient's condition started to improve, and he was discharged in good health.