Abcès du poumon : diagnostic et prise en charge

Feki, W.; Ketata, W.; Bahloul, N.; Ayadi, Habib; Yangui, I.; Kammoun, S.

doi:10.1016/j.rmr.2018.07.010

Cited by 19 publications

(26 citation statements)

References 62 publications

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“…However, the existing diagnostic methods lack specificity, the detection rate is low, and the misdiagnosis rate is high. For most patients, due to the lack of typical clinical manifestations of paragonimiasis and the presence of positive findings on lung imaging examinations often manifesting as the imaging features of lung inflammation, nodules, and masses [10], paragonimiasis is often misdiagnosed as pulmonary tuberculosis or lung cancer, which brings great mental and economic pressure and burden to patients and their families. In this study, horacoscopic resection of the lung masses was performed for the 8 patients.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the misdiagnosis of 8 adult cases of paragonimiasis with lung masses as the main manifestation in Xishuangbanna, Yunnan

Shu

Yang²,

et al. 2021

J Cardiothorac Surg

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Objective To summarize the clinical characteristics of adult cases of paragonimiasis with lung masses as the main manifestation in Xishuangbanna, Yunnan Province, analyze the causes of misdiagnosis, and improve the levels of clinical diagnosis and treatment. Method We conducted a retrospective analysis of the clinical data and diagnosis and treatment of 8 adult cases of paragonimiasis with lung masses as the main manifestation that were diagnosed in the Oncology Department of People’s hospital of Xishuangbanna Dai Autonomous Prefecture from July 2014 to July 2019. Result All 8 patients were from epidemic paragonimiasis areas and had a confirmed history of consuming uncooked freshwater crabs. The clinical manifestations were mainly fever, dry cough, and chest pain. The disease durations were long, and peripheral blood eosinophil counts were elevated. The cases had been misdiagnosed as pneumonia or pulmonary tuberculosis. After years of anti-inflammatory or anti-tuberculosis treatment, the symptoms had not improved significantly. Patients eventually sought treatment from the oncology department for hemoptysis. Chest computed tomography showed patchy consolidation in the lungs, with nodules, lung masses, and enlarged mediastinal lymph nodes. Conclusion Paragonimiasis is a food-borne parasitic disease. Early clinical manifestations and auxiliary examination results are nonspecific. The parasite most often invades the lungs, and the resulting disease is often misdiagnosed as pneumonia, pulmonary tuberculosis, or lung cancer (Acta Trop 199: 05074, 2019). To avoid misdiagnosis, clinicians should inquire, in detail, about residence history and history of unclean food and exposure to infected water and make an early diagnosis based on the inquired information and imaging examination results. For patients who have been diagnosed with pneumonia or pulmonary tuberculosis and whose symptoms do not improve significantly after anti-inflammatory or anti-tuberculosis treatments, their epidemiological history should be traced to further conduct differential diagnosis and avoid misdiagnosis.

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Section: Discussionmentioning

confidence: 99%

Analysis of the misdiagnosis of 8 adult cases of paragonimiasis with lung masses as the main manifestation in Xishuangbanna, Yunnan

Shu

Yang²,

et al. 2021

J Cardiothorac Surg

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“…Its common clinical presentations include fever, cough, expectoration, chest pain, and dyspnea. The diagnosis of a pulmonary abscess is based on the clinical symptoms, laboratory tests, and pulmonary imaging ( Feki et al, 2019 ; Hecker et al, 2012 ). Appropriate and timely antibiotic treatments ( Tan et al, 2020 ; Zhang et al, 2021 ) together adequate drainage are critical for the disease control ( Abu-Awwad et al, 2015 ; Kelogrigoris et al, 2011 ; Lee et al, 2021 ; Liu, Wang & Xu, 2019 ; Marra, Hillejan & Ukena, 2015 ; Wali, 2012 ).…”

Section: Introductionmentioning

confidence: 99%

Risk factors associated with length of hospital stay and medical expenses in pulmonary abscess patients: retrospective study

Zhu¹,

Yang²,

Lü³

2023

PeerJ

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Background Pulmonary abscess carries a high mortality and requires long-term managements. A better understanding of the risk factors associated with the prolonged hospital stay and high medical expenses in these patients can improve the management strategy in individual patient and optimize the overall healthcare resources. Methods We performed a retrospective study and reviewed the medical records on consecutive patients hospitalized at the Department of Respiratory Medicine of the General Hospital of Northern Theater Command, Shenyang, Liaoning, China, between January 1, 2015, and December 31, 2020. Demographics, comorbidity, clinical symptoms, laboratory tests, length of hospital stay, and medical expenses were recorded. Their relationships with the length of hospital stay and medical expenses in pulmonary abscess patients were analyzed. Results There were 190 patients with the pulmonary abscess and 12,189 patients without the pulmonary abscess. Compared with patients without the pulmonary abscess, patients with the pulmonary abscess had longer hospital stays (21.8 ± SD vs 12.8 ± SD, P < 0.01), In patients with the pulmonary abscess, the mean length of hospital stay was 5.3 days longer in male vs female patients (P = 0.025). Multivariate linear regression analyses showed that extrapulmonary disease and clinical symptoms were associated with the length of hospital stay and medical expenses, respectively. In addition, anemia was associated with both the length of hospital stay and medical expenses. Sex and hypoproteinemia were associated with the medical expenses. Conclusions The mean length of hospital stay was longer in patients with the pulmonary abscess than those without the pulmonary abscess. The length of hospital stay and medical expense were associated with sex, clinical symptoms, extrapulmonary disease, and abnormal laboratory tests in patients with the pulmonary abscess.

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“…Dalam abses paru ditemukan cairan purulen yang berasal dari supurasi dan nekrosis parenkim paru. 5 Patofisiologi sering dimulai dengan peradangan paru-paru, diikuti oleh nekrosis, fibrosis progresif, dan pembentukan rongga, yang mengarah ke penghancuran supuratif parenkim paru dengan kavitasi sentral. 6 Infeksi yang menjadi penyebab abses paru diperkirakan berbeda antara abses paru primer dan sekunder.…”

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“…Jika tidak memberikan respon yang baik, maka tatalaksana dilanjutkan dengan tindakan operatif, termasuk drainase, aspirasi dan reseksi paru. 5,6 Pengobatan jangka panjang dengan antibiotik spektrum luas empiris dimulai sampai organisme penyebab diidentifikasi melalui biakan dari saluran pernapasan, yang mungkin tidak dapat dilakukan dalam beberapa kasus. Namun, radiologi intervensi merupakan alternatif yang memperkenalkan pengobatan melalui penempatan kateter bila memungkinkan.…”

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Manifestasi klinis, pemeriksaan penunjang, diagnosis dan tatalaksana abses paru pada anak

Bakhtiar,

Herdata,

Liansyah

et al. 2023

JPMS

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Abses paru merupakan rongga berdinding tebal yang mengandung bahan purulen akibat supurasi dan nekrosis pada parenkim paru yang terlibat. Berdasarkan faktor predsposisi, maka abses paru pada anak dapat dibagi menjadi abses paru primer dan sekunder. Penyebab utama terjadinya abses paru primer adalah Streptococcus pneumoniae atau Staphylococcus aureus. Abses sekunder diperberat oleh penyakit paru, misalnya bronkhiektasis, fibrosis kistik, infark paru. Diagnsosis abses paru pada anak ditegakkan berdasarkan gambaran klinis dan pemeriksaan penunjang. Dicurigai abses paru apabila terdapat keluhan demam dan batuk, dan adanya tanda-tanda konsolidasi paru. Pemeriksaan penunjang diperlukan untuk memperkuat diagnosis abses paru meliputi rontgen dada, ultrasonografi, dan computed tomography (CT Scan). Tatalaksana abses paru meliputi tatalaksana umum dan khusus. Tatalaksana umum meliputi pemberian makanan dan cairan yang cukup dan oksigen. Pemberian oksigen dilakukan jika ada gejala sesak nafas. Selanjutnya, tatalaksana khusus meliputi pemberikan antibiotika, drainase dan tindakan operatif (lobektomi). Antibiotik secara inta vena yang tepat direkomendasikan sebagai terapi awal untuk abses paru. Jika tidak ada perbaikan klinis dan radiologis yang bermakna, maka dipertimbangkan dilakukan drainase. Seterusnya, jika dengan drainase juga tidak ada perbaikan, maka langkah terakhir adalak dilakukan lobektomi.

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Abcès du poumon : diagnostic et prise en charge

Cited by 19 publications

References 62 publications

Analysis of the misdiagnosis of 8 adult cases of paragonimiasis with lung masses as the main manifestation in Xishuangbanna, Yunnan

Analysis of the misdiagnosis of 8 adult cases of paragonimiasis with lung masses as the main manifestation in Xishuangbanna, Yunnan

Risk factors associated with length of hospital stay and medical expenses in pulmonary abscess patients: retrospective study

Manifestasi klinis, pemeriksaan penunjang, diagnosis dan tatalaksana abses paru pada anak

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