[Patient with a lung abscess, primarily treated with drainage followed by antibiotics].
A 45-year-old woman presented herself with coughing, nocturnal sweating, weight loss, and chest pain, left laterally. In the previous 5 months she had been treated twice with antibiotics due to a suspected pneumonia. With the help of a CT scan, 2 subpleural lung abscesses were diagnosed. The primary treatment was CT-guided drainage, as a result of which the largest abscess was emptied and a microbiological diagnosis could be established. Subsequently, the patient made a quick recovery with the help of specific antibiotics. It might be better to drain lung abscesses, especially subpleural ones, at an early stage rather than wait for the results of a trial treatment with antibiotics.
Heddema
E R
ER
Afd. Interne Geneeskunde, Kennemer Gasthuis, locatie Deo, Haarlem. e.r.heddema@amc.uva.nl
Teengs
J P
JP
Kunst
P W A
PW
D000658:Amoxicillin / Q000008:administration & dosage / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D019818:Clavulanic Acid / Q000008:administration & dosage / Q000627:therapeutic use; D004322:Drainage / Q000379:methods*; D004359:Drug Therapy, Combination / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008169:Lung Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology / Q000382:microbiology / Q000601:surgery*; D008875:Middle Aged; D010406:Penicillins / Q000008:administration & dosage / Q000627:therapeutic use; D011014:Pneumonia / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D011859:Radiography; D013290:Streptococcal Infections / Q000188:drug therapy / Q000601:surgery; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D010406:Penicillins; D019818:Clavulanic Acid; D000658:Amoxicillin