Lung abscess. Initial and late results of medical therapy

Barnett, T.

doi:10.1001/archinte.127.2.217

Cited by 17 publications

(3 citation statements)

References 16 publications

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“…The aspirate settles in the gravity-dependent portions of the lung. Classically, lung abscesses are more common in the posterior segments of the upper lobes or apical segments of the low er lobes since these areas are dependent in the supine position [2], It is not readily ap parent that the upper lobe is a common site for lung abscesses, yet involvement of the upper lobe was found in 73 of 156 pa tients with lung abscesses [9,10]. This roentgenographic distribution which mim ics tuberculosis causes delay in diagno sis and therapy.…”

Section: Discussionmentioning

confidence: 99%

Differentiation of Tuberculous from Nontuberculous Cavitary Lung Disease

Israel¹,

Poe²,

Greenblatt³

et al. 1985

Respiration

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Tuberculous and nontuberculous cavitary lung disease is often initially misdiagnosed, delaying therapy. To identify findings which might help avoid such delays, we performed a retrospective review of all patients admitted to two community hospitals over a 6-year period for infectious cavitary disease of the upper lobe or apical segment of the lower lobe. 10 patients with tuberculosis and 16 with nontuberculous infections were identified. Delays in initiating therapy were common to both. Most signs and symptoms were nonspecific. The mean duration of symptoms was greater in tuberculosis (72 days) compared to nontuberculous infections (18 days). Putrid sputum was found only in nontuberculous infections (11/16). Roentgenographic features of fibronodular infiltration and atelectasis occurred only in tuberculosis. Air fluid levels were seen only in nontuberculous disease (10/16). Leukocytosis with immature neutrophils was found only in patients with nontuberculous cavities. We conclude that the previously described clinical, laboratory, and roentgenographic features may be useful in correctly diagnosing infectious cavitary lung disease.

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Section: Discussionmentioning

confidence: 99%

Differentiation of Tuberculous from Nontuberculous Cavitary Lung Disease

Israel¹,

Poe²,

Greenblatt³

et al. 1985

Respiration

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“…The clinical success rate of adequate antimicrobial treatment together with effective drainage reaches 75 ± 90 %. [3,4,6,8,9]. Darüber hinaus wird durch eine zunehmend geringer werdende Erfahrung im Umgang mit dieser Erkrankung eine inadäquate Therapie begünstigt.…”

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Therapie der ambulant erworbenen aspirationsassoziierten Lungenabszesse

Ewig

Schäfer²

2001

Pneumologie

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“…For this group of patients, corticosteroid therapy is the common predisposing cause for their development of lung abscesses. Earlier reports fail t o mention steroid treatment as a predisposing factor, whereas another report suggests that steroid immunosuppression has a role [7,4,2]. The sequence of brain metastasis + corticosteroid therapy + lung abscess deserves emphasis.…”

mentioning

confidence: 99%

Lung abscesses following corticosteroid therapy for central nervous system metastases

Joss

Goldberg

Yates

et al. 1981

Med. Pediatr. Oncol.

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Although the occurrence of lung abscesses has decreased among the general population since the advent of antibiotics, a specific subgroup of cancer patients has demonstrated a propensity for this complication. Four patients with lung cancer, receiving corticosteroid therapy for brain metastases, developed large lung abscesses. These patients represent 12% of the 33 patients with central nervous system metastases seen in this institution over the period of one year. Physicians should be alert to this possible complication of corticosteroid therapy in patients with lung cancer.

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Lung abscess. Initial and late results of medical therapy

Cited by 17 publications

References 16 publications

Differentiation of Tuberculous from Nontuberculous Cavitary Lung Disease

Differentiation of Tuberculous from Nontuberculous Cavitary Lung Disease

Therapie der ambulant erworbenen aspirationsassoziierten Lungenabszesse

Lung abscesses following corticosteroid therapy for central nervous system metastases

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