title: [A case of multiple lung abscesses successfully treated with computed tomography guided percutaneous thoracic drainage].
abstract: A 48-year-old woman who had abused alcohol admitted to our hospital because of fever and chest pain. Laboratory data presented inflammation and liver dysfunction. Chest X-ray films revealed multiple mass lesions with air fluid levels. We diagnosed multiple lung abscesses and started treatment with antibiotics. However, her fever did not improve and mass lesions increased. On day 6 of hospitalization, three drainage tubes were inserted percutaneously into the mass lesions under computed tomography (CT) guidance, and alpha-hemolytic streptococcus, peptostreptococcus sp. and neutrophils were isolated from the drainage fluid. Abcesses and inflammation were improved by administration of the antibiotics selected according to the result of fluid culture. Because all multiple abcesses were located near the pleura, we successfully treated them with simultaneous percutaneus thoracic drainage.
authors.affiliation: Department of Internal Medicine, Komoro Kousei Sougou Hospital.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Shimada
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yamamoto
authors.forename: Toshimichi
authors.initials: T
authors.lastname: Horiuchi
authors.forename: Takuji
authors.initials: T
authors.lastname: Harada
authors.forename: Takuro
authors.initials: T
authors.lastname: Ichikawa
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Maruyama
authors.forename: Tomonobu
authors.initials: T
authors.lastname: Koizumi
mesh_terms: D004322:Drainage / Q000379:methods*; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000628:therapy*; D006801:Humans; D008169:Lung Abscess / Q000628:therapy*; D008875:Middle Aged; D010462:Peptostreptococcus / Q000302:isolation & purification; D013902:Radiography, Thoracic; D013290:Streptococcal Infections / Q000628:therapy*; D013909:Thorax; D014057:Tomography, X-Ray Computed