[Two cases of lung abscesses successfully treated with percutaneous drainage].
We report two cases of lung abscesses treated with percutaneous drainage. <Case1> A 69-year-old man with diabetes mellitus was admitted to our hospital because of fever. Chest radiograph and chest CT scan demonstrated a lung abscess adjacent to the chest wall in right S10. Antibiotics did not achieve an adequate response. A drainage catheter was inserted percutaneously. We washed the abscess cavity daily using 1% povidone iodine saline. There was a clear improvement on the chest radiograph. <Case2> A 74-year-old man with cerebral infarct was admitted to our hospital because of persistent cough and fever. Chest radiograph and chest CT scan demonstrated a lung abscess adjacent to the chest wall in left S10. Antibiotics did not achieve an adequate response. A drainage catheter was inserted percutaneously. We washed the abscess cavity daily using 1% povidone iodine saline. There was a clear improvement on the chest radiograph. We think that percutaneous drainage is a very useful method to treat lung abscesses in which antibiotics do not achieve an adequate response.
Noguchi
Tetsuo
T
Department of Respiratory Medicine, and Department of Thoracic Surgery, Nagahama City Hospital.
Nohara
Jun
J
Sakaguchi
Yasuto
Y
Nakayama
Ei
E
Terada
Yasuji
Y
D000368:Aged; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage*; D002404:Catheterization / Q000295:instrumentation*; D004322:Drainage / Q000379:methods*; D006801:Humans; D008169:Lung Abscess / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D011206:Povidone-Iodine / Q000008:administration & dosage*; D014057:Tomography, X-Ray Computed
D000891:Anti-Infective Agents, Local; D011206:Povidone-Iodine