PMID: 2122136Jan 1, 1990Paper

Percutaneous drainage of lung abscess

Lung
C ShimM Zelefsky

Abstract

Most lung abscesses are successfully treated with antibiotics. However, occasional patients with lung abscesses that drain poorly, causing persistent fever and toxic symptoms, may require surgical intervention. Lobectomy is the most frequent surgical procedure. Some patients are debilitated and have underlying medical conditions such as heart disease, chronic pulmonary disease, or liver disease that may render surgical intervention risky. Recently there have been reports of percutaneous drainage of lung abscess with good results. We have successfully carried out percutaneous drainage of lung abscess in 4 patients and an infected bulla in 1. All patients had failed to respond to therapy with antibiotics and postural drainage. There was prompt disappearance of the fluid level in the cavity, decline in temperature, and abatement of toxic symptoms with drainage. The cavities closed gradually over the next 6-12 weeks. The patients tolerated the chest tube well and there were no side effects from the tube drainage. Percutaneous tube drainage is the surgical treatment of choice in the medically complicated patient with a poorly draining lung abscess.

References

Oct 1, 1987·The Annals of Thoracic Surgery·T W RiceT R Todd
Mar 1, 1985·The Annals of Thoracic Surgery·A YellinY Lieberman
Jun 1, 1983·Annals of Surgery·J L Hagan, J D Hardy
Feb 1, 1956·Diseases of the Chest·V MONALDI

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Citations

May 13, 2019·BMJ Case Reports·Joana Sofia CarvalhoAna Cláudia Vieira
Nov 1, 1992·Current Problems in Diagnostic Radiology·J S Klein, S Schultz
Dec 10, 1999·Clinics in Chest Medicine·J S Klein

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