lung abscess is defined as pulmonary parenchyma necrosis with cavitation resulting from infection
CAUSATION
• Aspiration of septic materi
als ( puss, blood, infected mucus)
• During anaesthesia
• Infection – Staphylococcus, anaerobic organism
• Rupture of empyma
• Rupture of liver abscess
SYMPTOMS
• Fever with chill and rigor
• Fever comes down with profuse sweating
• Severe cough with copious foul smelling sputum
• Breathlessness
• Haemoptysis
• Weakness
• Lethargy
• Weight loss
• Clubbing – Rapidly developing even 4P within 14days
• Anaemia present
COMPLICATIONS
• Empyema
• Cerebral abscess with pneumonic complication
• Bronchiectasis
• Gangrene of lung
INVESTIGATION
• X-ray – Cavity with definite fluid margin, sometimes opacity due to consolidation
• Blood – Leukocytosis
• Sputum – Shows pus cell, RBC, elastic tissue and microorganisms
• Bronchoscopic examination should be done to find out or remove the cause and for collection for bronchial secretion for examination. When empyema aspirate material should be culture the organism
TREATMENT
Medication –
NSAID
Analgesic
Narcotic
And depends upon cause
1.if due to bacteria antibiotics should apply
2.if due to fungal antifungal should apply
3.if due to virus then wait for days
Management –
Some time collection of fluid is much more than usual then your doctor may taped out through a niddle