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Lung abscess is a type of liquefactive necrosis of the lung tissue and formation of cavities (more than 2 cm) [1] containing necrotic debris or fluid caused by microbial infection. This pus -filled cavity is often caused by aspiration, which may occur during anesthesia, sedation, or unconsciousness from injury.
Complications may include lung abscess, acute respiratory distress syndrome, empyema, parapneumonic effusion, and pneumonia [3] [1] Some include chemical induced inflammation of the lungs as a subtype, which occurs from acidic but non-infectious stomach contents entering the lungs. [1] [2] Infection can be due to a variety of bacteria. [2]
Aspiration can result in patient death through a variety of mechanisms. It is important to recognize and diagnose early in order to improve patient outcomes. Death from aspiration and aspiration-related syndromes is most common in elderly patients with known baseline risk factors, though it frequently goes unrecognized. [18]
The most common complication from a foreign body aspiration is a pulmonary infection, such as pneumonia or a lung abscess. [7] This can be more difficult to overcome in the elderly population and lead to even further complications. Patients may develop inflammation of the airway walls from a foreign body remaining in the airway. [2]
Lower respiratory tract infection (LRTI) is a term often used as a synonym for pneumonia but can also be applied to other types of infection including lung abscess and acute bronchitis. Symptoms include shortness of breath , weakness, fever , coughing and fatigue. [ 3 ]
Other complications that are typically associated with ARDS include: [9] Atelectasis: small air pockets within the lung collapse; Complications that arise from treatment in a hospital: blood clots formed by lying down for long periods of time, weakness in muscles that are used for breathing, stress ulcers, and issues with mental health and ...
Current treatment guidelines recommend a beta-lactam, like amoxicillin, and a macrolide, like azithromycin or clarithromycin, or a quinolone, such as levofloxacin. Doxycycline is the antibiotic of choice in the UK for atypical bacteria, due to increased Clostridioides difficile infection in hospital patients linked to the increased use of ...
In rare circumstances, bacteria in the lung will form a pocket of infected fluid called a lung abscess. [140] Lung abscesses can usually be seen with a chest X-ray but frequently require a chest CT scan to confirm the diagnosis. [140] Abscesses typically occur in aspiration pneumonia, and often contain several types of bacteria.