Bacterial Pneumonia and Lung Abscess

Torres, Antoni; Menéndez, Rosário; Wunderink, Richard G.

doi:10.1016/b978-1-4557-3383-5.00033-6

Cited by 17 publications

(19 citation statements)

References 238 publications

(312 reference statements)

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“…As tuberculosis remains common in South Korea, the treatment was initiated when the pathological findings suggested the possibility of tuberculosis (e.g., chronic granulomatous inflammation with caseous necrosis), even without a clear microbiological confirmation (31). Patients with a diagnosed abscess received prolonged broadspectrum antibiotic therapies (32,33). Our results showed that the role of PTNB in the diagnosis of pulmonary infection might be complementary to that of bronchoscopy, as in the diagnosis of malignant diseases.…”

Section: Discussionmentioning

confidence: 99%

Usefulness of CT-Guided Percutaneous Transthoracic Needle Lung Biopsies in Patients with Suspected Pulmonary Infection

et al. 2020

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This study aimed to evaluate the clinical benefits and risks of CT-guided percutaneous transthoracic needle lung biopsies (PTNBs) in patients with a suspected pulmonary infection. Materials and Methods: This study included 351 CT-guided PTNBs performed in 342 patients (mean age, 58.9 years [range, 17-91 years]) with suspected pulmonary infection from January 2010 to December 2016. The proportion of biopsies that revealed the causative organism for pulmonary infection and that influenced patient's treatment were measured. Multivariate analyses were performed to identify factors associated with PTNB that revealed the causative organism or affected the treatment. Finally, the complication rate was measured. Results: CT-guided PTNB revealed the causative organism in 32.5% of biopsies (114/351). The presence of necrotic components in the lesion (odds ratio [OR], 1.7; 95% confidence interval [CI], 1.1-2.7; p = 0.028), suspected pulmonary tuberculosis (OR, 2.0; 95% CI, 1.2-3.5; p = 0.010), and fine needle aspiration (OR, 2.5; 95% CI, 1.1-5.8; p = 0.037) were factors associated with biopsies that revealed the causative organism. PTNB influenced patient's treatment in 40.7% (143/ 351) of biopsies. The absence of leukocytosis (OR, 1.9; 95% CI, 1.0-3.7; p = 0.049), presence of a necrotic component in the lesion (OR, 2.4; 95% CI, 1.5-3.8; p < 0.001), and suspected tuberculosis (OR, 1.7; 95% CI, 1.0-2.8; p = 0.040) were factors associated with biopsies that influenced the treatment. The overall complication rate of PTNB was 19% (65/351). Conclusion: In patients with suspected pulmonary infection, approximately 30-40% of CT-guided PTNBs revealed the causative organism or affected the treatment. The complication rate of PTNB for suspected pulmonary infection was relatively low.

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Section: Discussionmentioning

confidence: 99%

Usefulness of CT-Guided Percutaneous Transthoracic Needle Lung Biopsies in Patients with Suspected Pulmonary Infection

et al. 2020

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“…The patient had no fever the following day and presumably had no fever on his presentation as an outpatient, so this strong clinical clue to infection was absent, as it often is in elderly patients. Fever is absent in 30 to 40% of older adult patients with pneumonia 12 ) . The patient may have had bibasilar pulmonary crackles from heart failure obscuring the findings of his unilateral lower lobe pneumonia.…”

Section: Discussionmentioning

confidence: 99%

Pneumonia as a trigger for atrial fibrillation

Nichols

2017

J Rural Med

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In a rural mountainous region on a Friday, a 78-year-old man was seen in his physician’s office for leg edema and diagnosed with new onset atrial fibrillation. He was discharged home to start medications for atrial fibrillation and heart failure. He was hospitalized the next day with septic shock due to pneumococcal pneumonia. The new onset of atrial fibrillation requires a trigger acting on a vulnerable substrate. These triggers include acute conditions such as alcohol intoxication, myocardial infarction and pulmonary embolism. Pneumonia may act as a trigger causing the new onset of atrial fibrillation.

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“…3 Abses paru adalah lesi nekrotik yang membentuk kavitas berisi pus pada parenkim paru dengan karakteristik air fluid level pada rontgen thorax. 4 Etiologi yang menimbulkan abses paru adalah infeksi yang disebabkan terutama oleh bakteri anaerob namun juga dapat disebabkan oleh bakteri anaerob, bakteri aerob, mikobakteria, jamur, dan parasit. 4,5 Abses paru sering sulit dibedakan dengan empyema, walau pada beberapa kasus keduanya dapat terjadi bersamaan, yaitu pada ruptur abses paru hingga cairan memasuki ruang intrapleura.…”

Section: Lung Abscess In Covid-19unclassified

“…4 Etiologi yang menimbulkan abses paru adalah infeksi yang disebabkan terutama oleh bakteri anaerob namun juga dapat disebabkan oleh bakteri anaerob, bakteri aerob, mikobakteria, jamur, dan parasit. 4,5 Abses paru sering sulit dibedakan dengan empyema, walau pada beberapa kasus keduanya dapat terjadi bersamaan, yaitu pada ruptur abses paru hingga cairan memasuki ruang intrapleura. 6,7 Saat ini abses paru jarang ditemukan pada negara-negara maju.…”

Section: Lung Abscess In Covid-19unclassified

Abses Paru pada COVID-19

Kurniawan¹,

Khairan²,

Librianty³

et al. 2020

J Indon Med Assoc

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Tujuan: COVID-19 adalah suatu penyakit infeksi yang baru ditemukan sejak Desember 2019 yang kemudian diumumkan oleh WHO sebagai pandemi global. Gambaran radiologi pada COVID-19 cukup bervariasi, namun yang paling sering ditemukan adalah ground-glass opacity (GGO). Metode: Dilaporkan kasus seorang laki-laki usia 39 tahun dengan abse paru pada COVID-19Hasil: Pada laporan kasus ini kami melaporkan seorang pasien COVID-19 dengan manifestasi klinis yang jarang yaitu abses paru. Hasil pemeriksaan molekular TB pada pasien ini adalah negatif. Pasien ini mengalami perbaikan gejala klinis setelah dilakukan prosedur drainase cairan abses. Abses paru pada COVID-19 sangat jarang ditemukan sehingga pembahasan lebih lanjut mengenai pasien ini perlu untuk dilakukan.Kesimpulan: Abses paru adalah salah satu manifestasi klinis pada COVID-19. Drainase cairan abses dapat membantu memperbaiki keadaan klinis pasien COVID-19.

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Bacterial Pneumonia and Lung Abscess

Cited by 17 publications

References 238 publications

Usefulness of CT-Guided Percutaneous Transthoracic Needle Lung Biopsies in Patients with Suspected Pulmonary Infection

Usefulness of CT-Guided Percutaneous Transthoracic Needle Lung Biopsies in Patients with Suspected Pulmonary Infection

Pneumonia as a trigger for atrial fibrillation

Abses Paru pada COVID-19

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