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Lung Abscess

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2. Lung abscess

Lung abscess Lung abscess - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Lung abscess Last reviewed: February 2019 Last updated: March 2018 Summary Circumscribed collection of pus in the lung that leads to cavity formation, usually with an air-fluid level visible on CXR. Aspiration of gastric contents is the most common causative factor. Mixed microbial flora, including anaerobic bacteria and microaerophilic (...) or surgical resection is reserved for patients not responding to antimicrobial treatment. Definition A lung abscess is a localised collection of pus within the lung that leads to formation of a cavity, usually with a thick wall. Tuddenham WJ. Glossary of terms for thoracic radiology: recommendations of the Nomenclature Committee of the Fleischner Society. AJR Am J Roentgenol. 1984 Sep;143(3):509-17. http://www.ajronline.org/doi/pdf/10.2214/ajr.143.3.509 http://www.ncbi.nlm.nih.gov/pubmed/6380245?tool

2018 BMJ Best Practice

3. Bilateral cavernous sinus thrombosis with septic lung lesions resulting from a nasal abscess (PubMed)

Bilateral cavernous sinus thrombosis with septic lung lesions resulting from a nasal abscess 29260092 2019 02 26 2451-9936 7 2017 Sep American journal of ophthalmology case reports Am J Ophthalmol Case Rep Bilateral cavernous sinus thrombosis with septic lung lesions resulting from a nasal abscess. 113-114 10.1016/j.ajoc.2017.06.005 Schear Matthew J MJ Northwell Health Department of Ophthalmology, Hofstra Northwell School of Medicine, 600 Northern Blvd, Suite 214, Great Neck, NY 11021, United

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2017 American journal of ophthalmology case reports

4. A lung abscess caused by secondary syphilis - the utility of polymerase chain reaction techniques in transbronchial biopsy: a case report. (PubMed)

A lung abscess caused by secondary syphilis - the utility of polymerase chain reaction techniques in transbronchial biopsy: a case report. In Japan and other countries, the number of patients with syphilis is increasing year by year. Recently, the cases of the pulmonary involvement in patients with secondary syphilis have been reported. However, it is still undetermined how to obtain a desirable specimen for a diagnosis of the pulmonary involvement, and how to treat it if not cured.A 34-year (...) markers were improved, however, the lung mass remained unchanged in size. Transbronchial biopsy (TBB) confirmed the pulmonary involvement of syphilis using polymerase chain reaction techniques (tpp47- and polA-PCR). Furthermore, following surgical resection revealed the lung mass to be an abscess.To our knowledge, this is the first surgically treated case of a lung abscess caused by syphilis, which was diagnosed by PCR techniques in TBB. This report could propose a useful diagnostic method

2019 BMC Infectious Diseases

5. Lung abscess by Actinomyces odontolyticus and Parvimonas micra co-infection presenting as acute respiratory failure: A case report. (PubMed)

Lung abscess by Actinomyces odontolyticus and Parvimonas micra co-infection presenting as acute respiratory failure: A case report. Actinomyces odontolyticus and Parvimonas micra are very rare causative organisms of lung abscess and acute respiratory failure.A 49-year-old male patient visited the emergency room with a complaint of sudden onset of shortness of breath, and he developed acute respiratory failure rapidly.An abscess in the left lower lung field was diagnosed on the computed (...) tomography scan of chest.Immediate treatment with intravenous antibiotics was initiated along with a pigtail catheter insertion for pus drainage.A odontolyticus was cultured on the drained pus and P micra was identified by a blood culture. The patient was successfully weaned from the mechanical ventilator and the lung abscess was completely resolved.To the best of our knowledge, this is the first case report of mixed infection with A odontolyticus and P micra, which caused acute respiratory failure

2019 Medicine

6. Lung Abscess: An Early Complication of Lung Transplantation in a Patient with Cystic Fibrosis (PubMed)

Lung Abscess: An Early Complication of Lung Transplantation in a Patient with Cystic Fibrosis A 22-year-old woman with cystic fibrosis (CF) developed lung abscess, as a rare complication caused by multidrug-resistant (MDR) Acinetobacter baumannii infection, after lung transplantation (LT). After 6 months of long-term antibiotic therapy, the abscess was successfully eliminated. In reviewed published literature, no previous report was found describing this kind of complication caused by MDR (...) A. baumannii in post-LT patient with CF. In our experience, lung abscess in LT recipients with CF can be successfully treated with prolonged antibiotic therapy.

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2017 International journal of organ transplantation medicine

7. Surgical and survival outcomes of lung cancer patients with intratumoral lung abscesses (PubMed)

Surgical and survival outcomes of lung cancer patients with intratumoral lung abscesses Intratumoral lung abscess is a secondary lung abscess that is considered to be fatal. Therefore, surgical procedures, although high-risk, have sometimes been performed for intratumoral lung abscesses. However, no studies have examined the surgical outcomes of non-small cell lung cancer patients with intratumoral lung abscesses. The aim of this study was to investigate the surgical and survival outcomes (...) of non-small cell lung cancer patients with intratumoral lung abscesses.Eleven consecutive non-small cell lung cancer patients with intratumoral lung abscesses, who had undergone pulmonary resection at our institution between January 2007 and December 2015, were retrospectively analysed. The post-operative prognoses were investigated and prognostic factors were evaluated.Ten of 11 patients were male and one patient was female. The median age was 64 (range, 52-80) years. Histopathologically, 4

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2017 Journal of cardiothoracic surgery

8. The multistep road to ventilator-associated lung abscess: A retrospective study of S.aureus ventilator-associated pneumonia. (PubMed)

The multistep road to ventilator-associated lung abscess: A retrospective study of S.aureus ventilator-associated pneumonia. We observed some cases of lung abscess (LA) in ICU patients suffering S.aureus ventilator-associated pneumonia (S.aureus-VAP). We aimed to assess which of the host and/or bacteria-related features are associated with LA.We conducted a retrospective study from January 2009 to July 2013 in a trauma surgical ICU within a teaching hospital. All adult patients presenting (...) accidents admission (p = 0.017), head injury (p = 0.002), lower Glasgow Coma Scale (p = 0.009), blunt chest trauma (p = 0.01) pneumothorax (p = 0.01) and lung contusions (p = 0.002). No microbiological factors were significantly associated with LA formation. Abscesses were mostly bilateral, ≥5 cm of diameter and with a posterior location.Our results do not favor a specific virulence of S.aureus, but rather highlight the role of multiple insults to the lung, promoting LA formation. Despite a similar

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2017 PLoS ONE

9. Cryptic Nocardia nova brain abscess postradiation treatment and neurosurgery in a patient with small cell lung cancer: A case report and review of the literature (PubMed)

Cryptic Nocardia nova brain abscess postradiation treatment and neurosurgery in a patient with small cell lung cancer: A case report and review of the literature 28740899 2018 11 13 2452-1094 1 4 2016 Oct-Dec Advances in radiation oncology Adv Radiat Oncol Cryptic Nocardia nova brain abscess postradiation treatment and neurosurgery in a patient with small cell lung cancer: A case report and review of the literature. 290-293 10.1016/j.adro.2016.08.004 Abel Stephen S Lake Erie College

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2016 Advances in radiation oncology

10. Video-assisted thoracoscopic left upper lobectomy and broncho-and-angioplasty for a giant central lung cancer complicated with intratumoral abscess: one case report (PubMed)

Video-assisted thoracoscopic left upper lobectomy and broncho-and-angioplasty for a giant central lung cancer complicated with intratumoral abscess: one case report A 70-year-old male patient with chest pain and high fever was diagnosed as lung squamous carcinoma T4N0M0 in the left upper lobe complicated with intratumoral lung abscess. With no improvement resulted from antibiotic treatment for 4 days, to control his infection and resect his large tumor, he received video-assisted thoracoscopic (...) and then its branches were cut open. At last, angioplasty and bronchoplasty was completed by sutures. Without any accidental bleeding, the whole operative time was 350 min and bleeding volume 100 mL. After the operation, fever resolved soon and pathologic stage was pT4N2M0. The patient was discharged from the hospital 20 days after the surgery. Generally, large tumor is still challenging in VATS operation and obstructive lung infection or abscess make the operation harder. However, VATS can still

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2018 Journal of thoracic disease

11. Pediatric Lung Abscess: Immediate Diagnosis by Point-of-Care Ultrasound. (PubMed)

Pediatric Lung Abscess: Immediate Diagnosis by Point-of-Care Ultrasound. The diagnosis of lung abscess can be difficult to make and often requires imaging beyond plain chest x-ray. The decision to further image with computed tomography should be weighed against the risks of radiation exposure, especially in pediatric patients. In addition, the cost and potential impact on length of stay from obtaining computed tomography scans should be considered. In this report, we describe a case of lung (...) abscess made immediately using point-of-care ultrasound in the emergency department. To our knowledge, there are no previous cases describing lung abscess diagnosed by point-of-care ultrasound. This case report aims to describe a case of pediatric lung abscess, review the ultrasound findings, and discuss relevant literature on the topic.

2018 Pediatric Emergency Care

12. An unusual case of lung abscess secondary to round pneumonia caused by recurrent Klebsiella pneumoniae strain and the role of occult metastases tumor (PubMed)

An unusual case of lung abscess secondary to round pneumonia caused by recurrent Klebsiella pneumoniae strain and the role of occult metastases tumor Round pneumonia is an uncommon form of community-acquired pneumonia usually found in children. To this date, there has been no report on local pulmonary complications in this entity in adult patients. The present study reports a case of a 77-year-old male with lung abscess secondary to round pneumonia caused by recurrent Klebsiella pneumoniae

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2018 Respiratory Medicine Case Reports

13. Failure of ceftolozane‐tazobactam salvage therapy in complicated pneumonia with lung abscess (PubMed)

Failure of ceftolozane‐tazobactam salvage therapy in complicated pneumonia with lung abscess Treatment of Pseudomonas aeruginosa remains challenging, despite the availability ceftolozane-tazobactam. We report a treatment failure with ceftolozane-tazobactam salvage therapy for pneumonia complicated by lung abscess. Drug resistance, dose selection, and source control are possible contributing factors. Ceftolozane-tazobactam susceptibility testing should precede therapy and consideration should

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2018 Clinical Case Reports

14. Burkholderia pseudomallei infection presenting with a lung abscess and osteomyelitis in an adult man: A case report. (PubMed)

Burkholderia pseudomallei infection presenting with a lung abscess and osteomyelitis in an adult man: A case report. The frequency of infections caused by Burkholderia pseudomallei is increasing worldwide. Here, we report a case of B pseudomallei infection presenting with a lung abscess and osteomyelitis in an adult man.A 38-year-old man presented with high-grade fever, productive cough, and chronic joint pain of the limbs. Examinations revealed multiple nodules, soft tissue mass shadows (...) , pulmonary cavitation in bilateral lungs, and fluid and soft tissue swelling in bilateral hips.The microbiologic diagnosis based on a positive culture revealed the etiologic agent to be B pseudomallei.The patient was treated with intravenous ceftazidime and levofloxacin, and out-of-hospital treatment continued with oral cotrimoxazole.The patient responded well to the treatment.subsections Because of its increasing incidence, B pseudomallei infection should be highly suspected among employees who work

2018 Medicine

15. Transbronchial drainage using endobronchial ultrasonography with guide sheath for lung abscess: A case report. (PubMed)

Transbronchial drainage using endobronchial ultrasonography with guide sheath for lung abscess: A case report. Lung abscess was previously treated surgically, but is now mainly treated with antibiotics and ideally with direct drainage, although postural drainage canalso be used.A chest abnormal shadow was detected in an 82-year-old man and he was referred to our department in November 2017. On chest computed tomography (CT), a low-density mass shadow was present in the left S8 segment. Lung (...) abscess and lung cancer were considered as differential diagnoses, and treatment with sulbactam sodium/ampicillin sodium (SBT/ABPC) was first initiated for lung abscess. The etiologic agent could not be identified by sputum examination, and the abscess shadow remained.Lung abscess.Endobronchial ultrasonography with a guide sheath (EBUS-GS)-guided bronchoscopy was performed on hospital day 21 to diagnose the lesion, identify the etiologic agent if the lesion was a lung abscess, and attempt drainage

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2018 Medicine

16. INVASIVE SALMONELLOSIS PRESENTING AS A LUNG ABSCESS: A CASE REPORT. (PubMed)

INVASIVE SALMONELLOSIS PRESENTING AS A LUNG ABSCESS: A CASE REPORT. Salmonella spp are an uncommon cause of lung abscess. A 59 year old man presented to our hospital with a 1 month history of cough and low grade fever progressing to high grade fever for 1 week. He had a past medical history significant for diabetes mellitus type 2 and focal segmental glomerulosclerosis for which he was receiving prednisolone, initially at 60 mg daily tapering to 20 mg daily. On presentation he was febrile (...) without surgical drainage. Salmonella can cause lung abscesses, especially in the immune suppressed.

2017 Southeast Asian Journal of Tropical Medicine and Public Health

17. Lung Abscess as Delayed Manifestation of Pulmonary Arterial Narrowing After Sleeve Resection. (PubMed)

Lung Abscess as Delayed Manifestation of Pulmonary Arterial Narrowing After Sleeve Resection. A patient who had undergone right upper bilobectomy because of a carcinoid experienced lung abscesses 17 months after operation. After recurrences, despite different antibiotic agents, dual-energy computed tomography showed subtotal stenosis of the right lower lobe pulmonary artery with marked pulmonary perfusion-reduction. Rare causes of lung-abscesses should be considered.Copyright © 2017 The Society

2017 Annals of Thoracic Surgery

18. Lung abscess caused by Streptococcus pneumoniae serotype 6B (PubMed)

Lung abscess caused by Streptococcus pneumoniae serotype 6B Lung abscess has been considered to be a rare complication of pneumococcal infection, and most cases are reported to be Streptococcus pneumoniae serotype 3. A 67-year-old man presented with fever and was diagnosed to have lung abscess caused by S. pneumoniae serotype 6B. The minimal inhibitory concentration (MIC) of penicillin for the isolate was 1 μg/mL. He was treated with high-dose intravenous sulbactam/ampicillin as definitive (...) therapy based on susceptibility testing for S. pneumoniae and recovered successfully without surgical intervention. S. pneumoniae serotype 6B can cause lung abscess.

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2017 Respiratory Medicine Case Reports

19. Emergency surgery for lung cancer with abscess formation after transbronchial biopsy (PubMed)

Emergency surgery for lung cancer with abscess formation after transbronchial biopsy Abscess formation in lung cancer after transbronchial biopsy (TBB) is a rare complication with no standard consensus on a coping strategy or prophylaxis. We describe an instructive case of lung cancer which developed into an abscess after TBB. An 80-year-old man with poorly controlled diabetes mellitus underwent TBB for diagnosing a mass lesion in the left upper lobe. The TBB specimen confirmed a diagnosis (...) of lung cancer, and he was scheduled for radical surgery. However, the tumour was revealed to have progressed into an enlarged abscess 24 days after TBB. Prompt use of meropenem failed to relieve the infection, hence we performed emergency left upper lobectomy. Poorly controlled diabetes mellitus was considered to be a risk for the formation of a tumour abscess after TBB. It was difficult to control the infection with conservative treatment using antibiotics; emergency surgical resection

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2017 Respirology case reports

20. A case of lung abscess successfully treated by transbronchial drainage using a guide sheath (PubMed)

A case of lung abscess successfully treated by transbronchial drainage using a guide sheath A 51-year-old man was diagnosed with colon cancer in September 2011, and a solitary pulmonary nodule was detected by computed tomography (CT) scan. We performed a transbronchial biopsy with endobronchial ultrasonography using a guide sheath (GS) and diagnosed lung metastasis of colon cancer. The patient experienced remittent fever after the biopsy in spite of intravenous antibiotic therapies. Moreover (...) , his CT scan showed a large lung abscess at the biopsy site. We performed transbronchial drainage using a GS as salvage therapy. The bloody pus was successfully aspirated, and chest X-ray following the procedure showed dramatic shrinkage of the abscess.

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2017 Respirology case reports

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