O'Brien J D, Ettinger N A
Department of Internal Medicine, Washington University School of Medicine, St Louis, MO 63110, USA.
Chest. 1995 Oct;108(4):1166-8. doi: 10.1378/chest.108.4.1166.
There are multiple etiologies reported as causes of lung abscess; however, this differential rarely includes intra-abdominal abnormalities other than extension of a hepatic process. We describe a patient who was found to have a lung abscess and empyema resulting from the development of a nephrobronchial fistula secondary to nephrolithiasis and pyelonephritis. The patient had no urinary symptoms or known abdominopelvic infection and the etiology of lung abscess was only incidentally discovered after chest CT revealed extension of pleural fluid below the diaphragm.
据报道，肺脓肿有多种病因；然而，这种鉴别诊断很少包括除肝部病变蔓延之外的腹腔内异常情况。我们描述了一名患者，该患者因肾结石和肾盂肾炎继发肾支气管瘘而出现肺脓肿和脓胸。该患者没有泌尿系统症状或已知的腹盆腔感染，肺脓肿的病因是在胸部CT显示胸腔积液延伸至膈肌以下后才偶然发现的。
