Lung abscess (6 cm) of unexplained origin in a 36-year-old woman.
A 36-year-old woman developed a lung abscess following an episode of influenza. Repeated blood cultures were negative. In necrotic material obtained by bronchoscopy no pathogenic micro-organisms were found. Penicillin-clavulanate, cefodizim and metronidazole were without success. The combination therapy with imipenem-cilastatin together with clindamycin improved clinical symptoms, normalized pathological laboratory parameters and completely resolved the lung cavity.
Zazgornik
J
J
Department of Internal Medicine II, General Hospital Linz, Krankenhausstrasse 9, A 4020 Linz.
Biesenbach
G
G
Schinko
H
H
D000328:Adult; D016918:Arthritis, Reactive / Q000188:drug therapy; D015377:Cilastatin / Q000008:administration & dosage; D000077728:Cilastatin, Imipenem Drug Combination; D002981:Clindamycin / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004338:Drug Combinations; D004359:Drug Therapy, Combination / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D015378:Imipenem / Q000008:administration & dosage; D007262:Infusions, Intravenous; D008169:Lung Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D004338:Drug Combinations; D015377:Cilastatin; D002981:Clindamycin; D015378:Imipenem; D000077728:Cilastatin, Imipenem Drug Combination