Lung abscess - Revision history

Danbot: Add peer-reviewed reference

2026-03-22T10:17:28Z

Add peer-reviewed reference

← Older revision		Revision as of 10:17, 22 March 2026
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	==Clinical Features==		==Clinical Features==
	*[[Cough]], [[fever]], pleuritic [[chest pain]], weight loss, night sweats (generally over course of several weeks)		*[[Cough]], [[fever]], pleuritic [[chest pain]], weight loss, night sweats (generally over course of several weeks)<ref>Kuhajda I, et al. Lung abscess-etiology, diagnostic and treatment options. Ann Transl Med. 2015;3(13):183. PMID 26366400</ref>
	**[[Tachycardia]], [[tachypnea]], or [[fever]] may be absent		**[[Tachycardia]], [[tachypnea]], or [[fever]] may be absent

Rossdonaldson1: /* Evaluation */

2023-12-13T22:16:22Z

Evaluation

← Older revision		Revision as of 22:16, 13 December 2023
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	==Evaluation==		==Evaluation==
	[[File:PulmonaryabsCXR.png\|thumb\|Pulmonary abscess on [[CXR]]]]		[[File:PulmonaryabsCXR.png\|thumb\|Pulmonary abscess on [[CXR]]]]
			[[File:XR chest - pneumonia with abscess and caverns - d0.jpg \|thumb\|[[CXR]] showing pneumonia with [[lung abscess]].]]
	[[File:Pulmonaryabs.png\|thumb\|Pulmonary abscess on CT scan]]		[[File:Pulmonaryabs.png\|thumb\|Pulmonary abscess on CT scan]]
	*[[CXR]] or CT Chest		*[[CXR]] or CT Chest

Rossdonaldson1 at 22:06, 13 December 2023

2023-12-13T22:06:44Z

← Older revision		Revision as of 22:06, 13 December 2023
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	==Background==		==Background==
			[[File:Lung and diaphragm.jpg\|thumb\|Lobes of the lung with related anatomy.]]
	*Localized, suppurative necrotizing process occurring within the pulmonary parenchyma		*Localized, suppurative necrotizing process occurring within the pulmonary parenchyma
	*Microbiology		*Microbiology

ClaireLewis at 15:41, 9 October 2019

2019-10-09T15:41:40Z

← Older revision		Revision as of 15:41, 9 October 2019
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	===Causes===		===Causes===
	*Aspiration [[pneumonia]] (7-14 days to become lung abscess)		*Aspiration [[pneumonia]] (7-14 days to become lung abscess)
	*Bacteremia from nonpulmonary infection		*[[Bacteremia]] from nonpulmonary infection
	*Influenza leading to Bacterial superinfection (e.g. ''S. Aureus'')		*[[Influenza]] leading to Bacterial superinfection (e.g. ''S. Aureus'')
	*Pulmonary infarction		*Pulmonary infarction
	*Infection as a result of penetrating chest trauma		*Infection as a result of penetrating [[chest trauma]]
	*Primary and metastatic neoplasms		*Primary and metastatic neoplasms
	*Granulomatosis with polyangiitis (Wegener's), sarcoidosis		*[[Granulomatosis with polyangiitis]] (Wegener's), [[sarcoidosis]]

	==Clinical Features==		==Clinical Features==
	*Cough, fever, pleuritic chest pain, wt loss, night sweats (generally over course of several weeks)		*[[Cough]], [[fever]], pleuritic [[chest pain]], weight loss, night sweats (generally over course of several weeks)
	**Tachycardia, tachypnea, or fever may be absent		**[[Tachycardia]], [[tachypnea]], or [[fever]] may be absent

			===Complications===
			*[[Empyema]]
			*Massive [[hemoptysis]]

	==Differential Diagnosis==		==Differential Diagnosis==
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	**[[Clindamycin]] + 2nd or 3rd gen [[cephalosporin]] '''OR'''		**[[Clindamycin]] + 2nd or 3rd gen [[cephalosporin]] '''OR'''
	**[[Clindamycin]] + [[ampicillin/sulbactam]]		**[[Clindamycin]] + [[ampicillin/sulbactam]]

	~~==Complications==~~
	*Empyema
	*Massive hemoptysis

	==Disposition==		==Disposition==

Rossdonaldson1: /* Evaluation */

2019-08-28T05:45:03Z

Evaluation

← Older revision		Revision as of 05:45, 28 August 2019
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	==Evaluation==		==Evaluation==
			[[File:PulmonaryabsCXR.png\|thumb\|Pulmonary abscess on [[CXR]]]]
	[[File:Pulmonaryabs.png\|thumb\|Pulmonary abscess on CT scan]]		[[File:Pulmonaryabs.png\|thumb\|Pulmonary abscess on CT scan]]
	*[[CXR]] or CT Chest		*[[CXR]] or CT Chest

Rossdonaldson1: /* Evaluation */

2019-08-28T05:35:45Z

Evaluation

← Older revision		Revision as of 05:35, 28 August 2019
Line 25:		Line 25:

	==Evaluation==		==Evaluation==
			[[File:Pulmonaryabs.png\|thumb\|Pulmonary abscess on CT scan]]
	*[[CXR]] or CT Chest		*[[CXR]] or CT Chest
	*Dense consolidation with air-fluid level inside of a thick-walled cavitary lesion		*Dense consolidation with air-fluid level inside of a thick-walled cavitary lesion

Gregtong: /* Background */

2019-08-19T21:55:52Z

Background

← Older revision		Revision as of 21:55, 19 August 2019
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	*Localized, suppurative necrotizing process occurring within the pulmonary parenchyma		*Localized, suppurative necrotizing process occurring within the pulmonary parenchyma
	*Microbiology		*Microbiology
	**Community-acquired: [[anaerobes]] (bacteroides, fusobacterium)		**Community-acquired: [[anaerobes]] mostly aspiration, anaerobic bacteria from oral cavity: peptostreptococcus, prevotella, bacteroides, fusobacterium species
	**Hospital-acquired: [[Staph]], [[E coli]], [[Klebsiella]], [[pseudomonas]], [[legionella]]		**Hospital-acquired: [[Staph]], [[E coli]], [[Klebsiella]], [[pseudomonas]], [[legionella]]

Jesse: /* Causes */

2017-08-22T18:31:44Z

Causes

← Older revision		Revision as of 18:31, 22 August 2017
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	*Aspiration [[pneumonia]] (7-14 days to become lung abscess)		*Aspiration [[pneumonia]] (7-14 days to become lung abscess)
	*Bacteremia from nonpulmonary infection		*Bacteremia from nonpulmonary infection
			*Influenza leading to Bacterial superinfection (e.g. ''S. Aureus'')
	*Pulmonary infarction		*Pulmonary infarction
	*Infection as a result of penetrating chest trauma		*Infection as a result of penetrating chest trauma

Ostermayer: Text replacement - "abscess " to "abscess "

2017-03-10T13:56:01Z

Text replacement - "abscess " to "abscess "

← Older revision		Revision as of 13:56, 10 March 2017
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	*[[CXR]] or CT Chest		*[[CXR]] or CT Chest
	*Dense consolidation with air-fluid level inside of a thick-walled cavitary lesion		*Dense consolidation with air-fluid level inside of a thick-walled cavitary lesion
	**Air-fluid level indicates communication of abscess cavity with a bronchiole		**Air-fluid level indicates communication of [[abscess]] cavity with a bronchiole

	==Management==		==Management==

Rossdonaldson1: Text replacement - "CXR" to "CXR"

2016-09-09T08:31:22Z

Text replacement - "*CXR" to "*CXR"

← Older revision		Revision as of 08:31, 9 September 2016
Line 24:		Line 24:

	==Evaluation==		==Evaluation==
	*CXR or CT Chest		*[[CXR]] or CT Chest
	*Dense consolidation with air-fluid level inside of a thick-walled cavitary lesion		*Dense consolidation with air-fluid level inside of a thick-walled cavitary lesion
	**Air-fluid level indicates communication of abscess cavity with a bronchiole		**Air-fluid level indicates communication of abscess cavity with a bronchiole

Lung abscess - Revision history

Danbot: Add peer-reviewed reference

Rossdonaldson1: /* Evaluation */

Rossdonaldson1 at 22:06, 13 December 2023

ClaireLewis at 15:41, 9 October 2019

Rossdonaldson1: /* Evaluation */

Rossdonaldson1: /* Evaluation */

Gregtong: /* Background */

Jesse: /* Causes */

Ostermayer: Text replacement - "abscess " to "abscess "

Rossdonaldson1: Text replacement - "*CXR" to "*CXR"

Rossdonaldson1: Text replacement - "CXR" to "CXR"