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Lung Abscess

Jose L. Perez-Lara, MD, Fernando Casado-Castillo, MD and Misbahuddin Khaja, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Pulmonary abscess or lung abscess is a microbial infection of the lung that results in necrosis and destruction of the normal pulmonary parenchyma resulting in cavitation with or wit...

DIAGNOSIS

HISTORY

  • Usually a smoldering infection with subacute to chronic course of symptoms

  • Most patients report a subjective fever, usually low grade, without rigors and chills.

  • “Putrid” cough—foul sme...

TREATMENT

MEDICATION

  • Antimicrobial therapy is almost always empiric, reflecting the difficulty of obtaining specimens that are appropriate for anaerobic culture; long time required to complete such cul...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Serial CXRs should be monitored for resolution or stability of initial findings (2),(7).

  • Monitor disease progression as well as side effects of antibiotics, partic...

REFERENCES

1
Chirteş IR, Mărginean CO, Gozar H, et al. Lung abscess remains a life-threatening condition in pediatrics—a case report. J Crit Care Med (Targu Mures).  2017;3(3):123–127. [View Abstr...

ADDITIONAL READING

Desai H, Agrawal A. Pulmonary emergencies: pneumonia, acute respiratory distress syndrome, lung abscess, and empyema. Med Clin North Am.  2012;96(6):1127–1148. [View Abstract o...

SEE ALSO

Pneumonia, Bacterial 

CODES

ICD10

  • J85.2 Abscess of lung without pneumonia

  • J85.1 Abscess of lung with pneumonia

  • A06.5 Amebic lung abscess

  • J85.3 Abscess of mediastinum

ICD9

  • 513.0 Abscess of lung

  • 006.4 Amebic lung abscess

  • 513.1 Absce...

CLINICAL PEARLS

  • Aspiration of oral bacteria into the dependent regions of the lung usually causes lung abscesses.

  • Lung abscess are typically presumed to be polymicrobial infections with anaerobes and r...

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