25 April 2026
: Case report 
Streptococcus pyogenes-Induced Necrotizing Pneumonia With Pleural Effusion in a Child: Role of Medical Thoracoscopy
Unusual clinical course, Unusual setting of medical care
Lei Zhu E 1, Feizhou Zhang CD 2,3,4, Ting Huang AD 4,5, Fang Jin AC 2,3,4, Hujun Wu BD 2,3,4, Xiaofen Tao CF 2,3,4, Lei Wu BC 2,3,4, Lanfang Tang FG 2,4*DOI: 10.12659/AJCR.951007
Am J Case Rep 2026; 27:e951007
Figure 2 Flexible bronchoscopy findings. During the bronchoscopy examination, significant amounts of thick, white mucus secretions were observed obstructing the airways in both the left (A) and right (D) lower lobe bronchi. To address this, saline lavage was performed (B, E), which effectively cleared the secretions and restored better airway patency, as evidenced by the improved luminal opening visible in the post-lavage images (C, F).