Neumonía complicada por Influenza tipo A en paciente pediátrico: un reporte de caso

Community-acquired pneumonia is a common cause of hospitalization in children and can worsen due to viral infections such as influenza A. We report the case of a four-year-old female patient with no relevant medical history who presented with persistent fever, productive cough, and progressive respiratory distress. Imaging studies revealed left lung collapse and a loculated pleural effusion; nasopharyngeal swab confirmed influenza A infection. Due to poor clinical response to medical treatment, a thoracotomy with left lower lobectomy was performed. Intraoperative findings revealed pulmonary necrosis and abundant fibrin. Postoperative recovery was favorable, with improvement of respiratory status and successful removal of the chest drain. This case highlights the importance of early surgical intervention in pediatric patients with complicated pneumonia due to influenza who fail to improve with conventional medical management.