(radiograph and its scheme; abscess indicated by the arrow);
1 - abscess cavity;
2 - the level of pus;
3 - leukocyte infiltration.
(abscessus pulmonis) is a complication of bacterial destructive pneumonia.
IN PATHOGENESISdiseases matter the aggressiveness of the microbial flora and weakening of the immune system.
CLINICAL PICTUREcharacterized by high hectic temperature, general intoxication, neutrophilic leukocytosis with decreased lymphocytes, accelerated ESR, anemia.
Radiographically determined inhomogeneous shadow in the lungs with no clear boundaries against the background of infiltration of lung tissue. With the breakthrough of purulent contents in the bronchi, the enlightenment of the shadow and the appearance of the level of the liquid are detected. As the cavity becomes empty, the symptoms of intoxication subside.
COMPLICATIONS: pyopneumothorax, pleurobronchial fistula, pulmonary hemorrhage, sepsis, purulent pericarditis, osteomyelitis. In the long term - deforming bronchitis, bronchiectasis, pneumosclerosis.
DIAGNOSTICS. In addition to general clinical and laboratory, X-ray and ultrasound examinations are highly informative.
TREATMENT. Purposeful antibacterial therapy with parenteral and local administration of drugs, drainage of large cavities of pulmonary tissue decay, immunostimulating therapy, protease inhibitors. Hemosorbium, UVR are possible. In case of chronic lung abscess, surgical treatment is performed.