{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T09:08:18Z","timestamp":1779786498648,"version":"3.53.1"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"vor","delay-in-days":145,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Pediatrics"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Necrotizing pneumonia (NP) is a severe and life\u2010threatening complication of lung infection in children. While rare, it can lead to catastrophic complications such as hemothorax, where blood fills the pleural cavity. We present the case of a previously healthy 5\u2010year\u2010old girl who initially appeared to have a gastrointestinal illness. Her condition rapidly evolved into a complex medical emergency involving influenza\u2010associated NP, which was then complicated by a sudden, massive hemothorax. Her hospital course was further challenged by drug\u2010induced acute kidney injury (AKI) requiring temporary hemodialysis and the persistent mystery of negative bacterial cultures. This case highlights the aggressive potential of NP, the critical need for vigilance when clinical signs worsen abruptly, and the essential role of timely surgical intervention. Following an urgent thoracotomy and lung resection, the child made a full recovery, underscoring how a multidisciplinary approach can be life\u2010saving in these extreme scenarios.<\/jats:p>","DOI":"10.1155\/crpe\/7410769","type":"journal-article","created":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T09:01:08Z","timestamp":1779786068000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Life\u2010Threatening Necrotizing Pneumonia in a Pediatric Patient: A Complicated Case From Palestine"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5134-2867","authenticated-orcid":false,"given":"Hani","family":"Abu-Hijleh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nagham","family":"Kawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seleen Abu","family":"Alhmam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0963-8766","authenticated-orcid":false,"given":"Khaled","family":"Swafta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maysaa","family":"Alawneh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulkareem","family":"Saymeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulkarim","family":"Adas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,26]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir531"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00099807"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2004.tb02744.x"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1086\/586747"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2017.01041"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.05.077"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(20)31550-6"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0267659112469549"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-021-03032-9"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/ms9.0000000000001965"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00228-012-1259-9"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.171.1.9648799"}],"container-title":["Case Reports in Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crpe\/7410769","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/crpe\/7410769","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crpe\/7410769","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T09:01:09Z","timestamp":1779786069000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/crpe\/7410769"}},"subtitle":[],"editor":[{"given":"Andrii","family":"Loboda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/crpe\/7410769"],"URL":"https:\/\/doi.org\/10.1155\/crpe\/7410769","archive":["Portico"],"relation":{},"ISSN":["2090-6803","2090-6811"],"issn-type":[{"value":"2090-6803","type":"print"},{"value":"2090-6811","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-12-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"7410769"}}