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At least 145 records · Page 8Linked to original sources
PubMed1985

Giant lung abscess treated by tube thoracostomy.

Pulmonary resection is the recommended treatment for large lung abscesses that do not respond to medical management. Tube thoracostomy, effective in the past, has been used less and less in recent years. Personal experience with three patients and a review of the literature led me to the following conclusions: In the treatment of a lung abscess 8 cm or larger, tube thoracostomy is an effective form of drainage, is probably safer than pulmonary resection, and may yield a superior result. Rather than being reserved as a desperation measure for poor risk patients, tube thoracostomy should be considered early in the hospital course.

Adolescent↗
PubMedDate not supplied

Percutaneous internal fistulization of a lung abscess after incomplete external drainage.

Internal drainage was performed with expandable metallic stents in a 79-year-old male with lung abscess secondary to bronchogenic carcinoma. Initial external drainage was prolonged, and internalization of drainage allowed removal of the external drainage catheter. Connection of abscess cavity to obstructed bronchus was created after passing a steerable guidewire percutaneously through the abscess into the bronchus. This new type of internal drainage technique may be applicable to patients with prolonged standard percutaneous external drainage of lung abscesses.

Aged↗
PubMed2005

[Sucessful treatment by micafungin of pulmonary aspergillosis occurring in an old lung abscess].

A 55-year-old man, who had diabetes from age 46 years old had been treated for a lung abscess in the right upper lobe at age 51. He underwent an operation for stomach cancer at age 52. When he was 55 years old, a cavity lesion appeared in his right upper lobe at the site of the treated lung abscess. Pulmonary aspergillosis was diagnosed by bronchial biopsy. In this case, we controlled his diabetes and used micafungin which has a mechanism unlike other conventional antifungal agents. The shadow decreased and examination of the resected specimen showed that the fungus had disappeard. Pulmonary aspergillosis is an important mycosis profunda and micafungin seems to be an effective antifungal agent against it.

Antifungal Agents↗
PubMed1985

Legionella lung abscess after renal transplantation.

Although Legionella infections have been widely reported, the clinical importance of Legionella lung abscess has not been sufficiently emphasised. A renal transplant recipient with a pulmonary abscess due to Legionella pneumophila is presented and 21 other cases from the literature are reviewed. Seven abscesses arose in renal transplant patients. Even though an abscess may develop during treatment, superimposed infection with other micro-organisms appears to be uncommon, and an abscess may be expected to resolve with prolonged appropriate antimicrobial therapy alone. Recognition of lung abscess as a complication of legionella infection will therefore prevent unnecessary operations.

Adult↗
PubMed1951

Lung abscess.

Explore the source record for details and available documents.

Abscess↗
PubMed1951

Lung abscess.

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Abscess↗
PubMed1996

Concealed lung abscess in critically ill, mechanically ventilated patients.

We describe 3 critically ill patients with pneumonia complicated by lung abscesses and contralateral pneumonia due to spill of purulent secretions into the healthy lung. Although the clinical picture of lung abscess often runs an indolent course, this was not observed in these critically ill patients, who all died from this complication. Diagnosis was delayed as chest X-ray underestimated lung pathology compared to computed tomography (CT) scan. Therefore percutaneous chest tube drainage and placement of a double-lumen endobronchial tube to protect the healthy lung were delayed and spill of purulent secretions into the contralateral lung occurred. These cases show the importance of rapid evaluation by CT scan of the chest in mechanically ventilated patients with slowly resolving infiltrates on chest X-ray.

Adult↗
PubMed2001

[A case of pneumonia, septic pulmonary embolisms with cavities, bilateral large lung abscesses, and multiple liver abscesses caused by Klebsiella pneumoniae].

A 64-year-old man suffering from diabetic hyperosmolar non-ketotic coma was admitted for acute lung abscess in the left apical lung field. Sputum culture and blood culture showed a heavy growth of Klebsiella pneumoniae (K. pneumoniae). He was suffering from sepsis, septic pulmonary embolisms with cavities, bilateral pulmonary consolidations, and multiple liver abscesses. Gradually, the bilateral lung consolidations resolved and areas of consolidation were noted to undergo extensive cavitation bilaterally. Cavitation and abscess formation are frequent complications of K. pneumoniae. Generally, large bilateral lung abscesses caused by K. pneumoniae have a poor prognosis. Cavity nodules are often present in septic pulmonary embolisms. We report a very rare case in a patient with three types of cavities with differing mechanisms. The first was an acute lung abscess, the second, septic pulmonary embolisms with cavities, and the third, large bilateral lung cavities noted in the course of resolving consolidations.

Bacteremia↗
PubMedDate not supplied

Lung abscess in congenital cystic adenomatoid malformation: report of one case.

Congenital cystic adenomatoid malformation (CCAM) of the lung is an uncommon anomaly of fetal development of terminal respiratory structures. Patients with CCAM may present either in the newborn with progressive respiratory distress, or in older children with recurrent pulmonary infections. Lung abscess is an extremely rare presentation. Herein we report an 8-year-old girl with type 1 CCAM who presented as lung abscess.

Child↗
PubMed1993

Lung abscess: analysis of 66 cases from 1979 to 1991.

Sixty-six patients with bacterial lung abscess were treated between 1979 and 1991 in our hospital. Among these patients, death occurred in one of the 42 cases of community-acquired infection (mortality rate: 2.4%) and in 16 of the 24 cases of nosocomial infection (mortality rate: 66.7%). Of all 66 cases, 55 were culture-positive, and the etiologic agents isolated from 24 of the culture-positive cases were found to be anaerobic bacteria. The most common aerobes isolated from the foci were identified as Staphylococcus aureus, Klebsiella spp. and Pseudomonas aeruginosa, while the most common anaerobes were Bacteroides spp., Peptostreptococcus, Fusobacterium spp., microaerophilic Streptococcus and Veillonella. The mortality was higher in the cases with P. aeruginosa, Klebsiella spp. and Candida spp. than in those with other bacteria. The prognosis of lung abscess patients proved to depend on the presence of underlying diseases and on superinfection with aerobes.

Adolescent↗
PubMed1989

[Treatment of patients with lung abscess by local administration of papain].

Under study were results of treatment of 109 patients with lung abscess aged from 17 to 76 years. All the patients were treated by active antiinflammatory therapy, bronchosanitation measures. In addition, local treatment by transthoracal punctures and drainage of the abscess cavity was used. Patients of the main group (52 patients) were given transthoracal injections of 0.5% solution of papain. The inclusion of papain in the complex therapy of patients with a lung abscess allowed to improve results of the treatment of this severe disease. The method may be recommended for wide use in pulmonology.

Adolescent↗
PubMed1991

Mycobacterium fortuitum lung abscess treated with ciprofloxacin.

Mycobacterium fortuitum rarely causes lung disease. Although treatment in the past has included intravenous antibiotics, this is the first report of a Mycobacterium fortuitum lung abscess that resolved with a prolonged course of oral ciprofloxacin alone. There is no evidence of recurrence 14 months after the end of treatment.

Ciprofloxacin↗
PubMed1996

Lung abscess due to nontyphoid Salmonella in an immunocompromised host. Case report with review of the literature.

Lung abscess due to nontyphoid Salmonella (NTS) with or without other intestinal or extra-intestinal involvement is very rare. A literature review (Medline search) revealed only 20 cases including ours with this extra-intestinal manifestation of Salmonella infection. The case of a 49-year-old, HIV-positive man from Zaire is reported. Diagnosis was established by direct transthoracal CT-guided puncture of the abscess, a hitherto not reported procedure in this setting. Treatment with oral ciprofloxacin resulted in clinical and radiographic improvement. Underlying immunodeficiency seems to play an important role, but the real pathophysiological mechanisms remain unsolved. It is particularly seen in HIV-positive patients with impaired cellular immunity since Salmonella is an intracellular pathogen whose eradication involves natural killer cells and antibody-induced cellular cytotoxicity. A possible explanation is that NT-Salmonella bacteraemia is much more frequent in AIDS-patients as compared to the general population. Salmonella bacteraemia can then spread to other tissues and organs such as the lungs, but why only the lungs are involved in some cases remains unclear. The characteristics of Salmonella lung abscess is discussed and the literature reviewed.

AIDS-Related Opportunistic Infections↗