Cupido G C, Günther G, Ellitson L
Department of Internal Medicine, Faculty of Health Sciences, University of Namibia & Katutura Intermediate Hospital, Windhoek, Namibia.
Afr J Thorac Crit Care Med. 2022 May 5;28(1). doi: 10.7196/AJTCCM.2022.v28i1.145. eCollection 2022.
Pyogenic lung abscesses represent a pathological entity with a high mortality rate if left untreated. Most patients respond well to intravenous antibiotics. Following the failure of conservative measures, invasive measures such as open-surgical procedures are required. Minimally-invasive options such as percutaneous catheter drainage of parenchymal lung abscesses, mainly if the respiratory reserve is limited or where the baseline functional status is poor, are also considered viable options. Pyogenic lung abscesses are necrotic cavitary lesions of the lung parenchyma and are often considered to be in the spectrum of anaerobic pleuropulmonary diseases. In this case report, we report on a 33-year-old female who presented with a 3-week history of cough, increasing breathlessness and right-sided pleurisy. She was diagnosed with pyogenic lung abscess and started on intravenous antibiotics. The abscess was drained using a pigtail catheter guided with a bedside ultrasonography.
如果不进行治疗,化脓性肺脓肿是一种死亡率很高的病理实体。大多数患者对静脉注射抗生素反应良好。在保守治疗措施失败后,需要采取诸如开放手术等侵入性措施。对于实质性肺脓肿,经皮导管引流等微创选择,主要是在呼吸储备有限或基线功能状态较差的情况下,也被认为是可行的选择。化脓性肺脓肿是肺实质的坏死性空洞病变,通常被认为属于厌氧性胸膜肺部疾病范畴。在本病例报告中,我们报告了一名33岁女性,她有3周的咳嗽、进行性呼吸困难和右侧胸膜炎病史。她被诊断为化脓性肺脓肿,并开始接受静脉注射抗生素治疗。通过床边超声引导,使用猪尾导管对脓肿进行了引流。