[Lung abscess: changes in treatment?]

Rev Med Suisse. 2015 Nov 18;11(495):2176, 2178-80, 2182-3.
[Article in French]

Abstract

Lung abscess occurs in very pleomorphic according to germs initially involved. The mechanism commonly found is an aspiration of the oropharyngeal flora in patients with disorders of consciousness or swallowing. The infection is polymicrobial, with presence of anaerobic germs in 2/3 of the cases. The support consists of a prolonged antibiotic treatment, as well as anaerobic until resolution or stability of the radiological image. In case of prolonged toxic state, drainage of the abscess is to be discussed especially if there is no airways drainage. Surgical sanctions is rarely needed regardless of the size of the abscess, unless underlying carcinoma is present.

Publication types

  • English Abstract

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Diagnosis, Differential
  • Drainage
  • Humans
  • Lung Abscess / diagnosis*
  • Lung Abscess / microbiology
  • Lung Abscess / therapy*
  • Risk Factors

Substances

  • Anti-Bacterial Agents