Lung abscess - Revision history

Aidan: Text replacement - "Rhodococcus equi" to "Rhodococcus hoagii"

2022-08-31T16:49:04Z

Text replacement - "Rhodococcus equi" to "Rhodococcus hoagii"

← Older revision		Revision as of 16:49, 31 August 2022
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	*Usually polymicrobial, including oral [[anaerobes]]		*Usually polymicrobial, including oral [[anaerobes]]
	*Can also be monomicrobial, caused by ''[[Klebsiella]]'', ''[[Staphylococcus aureus]]'', ''[[Pseudomonas aeruginosa]]'', ''[[Burkholderia pseudomallei]]'' (melioidosis), ''[[Pasteurella multocida]]'', ''[[Streptococcus pyogenes]]'', ''[[Haemophilus influenzae]]'' types b and c, [[Legionella species\|''Legionella'']], ''[[Rhodococcus ~~equi~~]]'', [[Actinomyces species\|''Actinomyces'']], and [[Nocardia species\|''Nocardia'']]		*Can also be monomicrobial, caused by ''[[Klebsiella]]'', ''[[Staphylococcus aureus]]'', ''[[Pseudomonas aeruginosa]]'', ''[[Burkholderia pseudomallei]]'' (melioidosis), ''[[Pasteurella multocida]]'', ''[[Streptococcus pyogenes]]'', ''[[Haemophilus influenzae]]'' types b and c, [[Legionella species\|''Legionella'']], ''[[Rhodococcus hoagii]]'', [[Actinomyces species\|''Actinomyces'']], and [[Nocardia species\|''Nocardia'']]

	===Pathophysiology===		===Pathophysiology===

Aidan: Text replacement - " species]]" to "]]"

2022-01-25T17:02:53Z

Text replacement - " species]]" to "]]"

← Older revision		Revision as of 17:02, 25 January 2022
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	*Usually polymicrobial, including oral [[anaerobes]]		*Usually polymicrobial, including oral [[anaerobes]]
	*Can also be monomicrobial, caused by ''[[Klebsiella]]'', ''[[Staphylococcus aureus]]'', ''[[Pseudomonas aeruginosa]]'', ''[[Burkholderia pseudomallei]]'' (melioidosis), ''[[Pasteurella multocida]]'', ''[[Streptococcus pyogenes]]'', ''[[Haemophilus influenzae]]'' types b and c, [[Legionella species\|''Legionella'' ~~species~~]], ''[[Rhodococcus equi]]'', [[Actinomyces species\|''Actinomyces'' ~~species~~]], and [[Nocardia species\|''Nocardia'' ~~species~~]]		*Can also be monomicrobial, caused by ''[[Klebsiella]]'', ''[[Staphylococcus aureus]]'', ''[[Pseudomonas aeruginosa]]'', ''[[Burkholderia pseudomallei]]'' (melioidosis), ''[[Pasteurella multocida]]'', ''[[Streptococcus pyogenes]]'', ''[[Haemophilus influenzae]]'' types b and c, [[Legionella species\|''Legionella'']], ''[[Rhodococcus equi]]'', [[Actinomyces species\|''Actinomyces'']], and [[Nocardia species\|''Nocardia'']]

	===Pathophysiology===		===Pathophysiology===

Aidan: /* Management */

2021-01-03T20:10:11Z

Management

← Older revision		Revision as of 20:10, 3 January 2021
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	*Tooth extraction		*Tooth extraction

	== Clinical Presentation ==		==Clinical Presentation==

	* Cough, fever, night sweats		*Cough, fever, night sweats
	* Anaerobes more likely to be involved when symptoms are subacute or indolent (lasting longer than 2 weeks)		*Anaerobes more likely to be involved when symptoms are subacute or indolent (lasting longer than 2 weeks)

	==Differential Diagnosis==		==Differential Diagnosis==
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	*See [[cavitary lung lesion]]		*See [[cavitary lung lesion]]

	== Investigations ==		==Investigations==

	* Routine investigations: CT chest, sputum for Gram stain (though may not grow anaerobes), blood cultures		*Routine investigations: CT chest, sputum for Gram stain (though may not grow anaerobes), blood cultures
	* If easy to obstain, can consider transtracheal aspirates, transthoracic needle aspirates, and pleural fluid culture		*If easy to obstain, can consider transtracheal aspirates, transthoracic needle aspirates, and pleural fluid culture
	* If diagnosis is uncertain, bronchoscopy		*If diagnosis is uncertain, bronchoscopy

	== Diagnosis ==		==Diagnosis==

	* Usually made based on CT chest plus compatible symptoms		*Usually made based on CT chest plus compatible symptoms

	==Management==		==Management==
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	*Duration depends on clinical and radiographic response		*Duration depends on clinical and radiographic response
	**As short as 3 weeks, but usually up to 6 to 8 weeks		**As short as 3 weeks, but usually up to 6 to 8 weeks
	**Can follow progress radiographically		**Can follow progress radiographically, continuing until chest x-ray shows small, stable residual lesion or is clear
	*Rarely requires surgical intervention for lobectomy or pneumonectomy		*Rarely requires surgical intervention for lobectomy or pneumonectomy
	**Indicated in failure of medical management, suspected neoplasm, or hemorrhage		**Indicated in failure of medical management, suspected neoplasm, or hemorrhage

Aidan at 20:05, 3 January 2021

2021-01-03T20:05:40Z

@@ Line 17: / Line 17: @@
 *Tooth extraction
-== Differential Diagnosis ==
+== Clinical Presentation ==
 ==Management==
@@ Line 25: / Line 40: @@
 *Unless clearly monomicrobial, should treat broadly and include good anaerobic coverage
 **Either a β-lactam plus [[metronidazole]], or [[clindamycin]]
 [[Category:Respiratory infections]]

Aidan at 19:51, 3 January 2021

2021-01-03T19:51:57Z

← Older revision		Revision as of 19:51, 3 January 2021
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	===Risk Factors===		===Risk Factors===

	*Chronic aspiration from any etiology		*[[Chronic aspiration]] from any etiology
	**'''Alcohol use disorder'''		**'''[[Alcohol use disorder]]'''
	**~~Seizures~~, stroke, drug overdose, general anesthesia		**[[Seizure disorder]], [[stroke]], drug overdose, general anesthesia
	*Dysphagia or respiratory dysfunction from ALS, ~~Parkinson’s~~ disease, or stroke		*[[Dysphagia]] or respiratory dysfunction from [[ALS]], [[Parkinson disease]], or [[stroke]]
	*Tooth extraction		*Tooth extraction

			== Differential Diagnosis ==

			* See [[cavitary lung lesion]]

	==Management==		==Management==

Aidan at 15:52, 18 August 2020

2020-08-18T15:52:59Z

← Older revision		Revision as of 15:52, 18 August 2020
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	== ~~Microbiology~~ ==		==Background==
			===Microbiology===

	* Usually polymicrobial, including oral anaerobes		*Usually polymicrobial, including oral [[anaerobes]]
	* Can also be monomicrobial, caused by ''Klebsiella'', ''Staphylococcus aureus'', ''Pseudomonas aeruginosa'', ''Burkholderia pseudomallei'' (melioidosis), ''Pasteurella multocida'', ~~group~~ ~~A streptococcus~~, ''Haemophilus influenzae'' types b and c, ''Legionella'' ~~spp.~~, ''Rhodococcus equi'', ''Actinomyces'' ~~spp.~~, and ''Nocardia'' ~~spp.~~		*Can also be monomicrobial, caused by ''[[Klebsiella]]'', ''[[Staphylococcus aureus]]'', ''[[Pseudomonas aeruginosa]]'', ''[[Burkholderia pseudomallei]]'' (melioidosis), ''[[Pasteurella multocida]]'', ''[[Streptococcus pyogenes]]'', ''[[Haemophilus influenzae]]'' types b and c, [[Legionella species\|''Legionella'' species]], ''[[Rhodococcus equi]]'', [[Actinomyces species\|''Actinomyces'' species]], and [[Nocardia species\|''Nocardia'' species]]

	== Pathophysiology ==		===Pathophysiology===

	* Mostly from chronic aspiration		*Mostly from chronic aspiration

	== Risk Factors ==		===Risk Factors===

	* Chronic aspiration from any etiology		*Chronic aspiration from any etiology
	** '''Alcohol use disorder'''		**'''Alcohol use disorder'''
	** Seizures, stroke, drug overdose, general anesthesia		**Seizures, stroke, drug overdose, general anesthesia
	* Dysphagia or respiratory dysfunction from ALS, Parkinson’s disease, or stroke		*Dysphagia or respiratory dysfunction from ALS, Parkinson’s disease, or stroke
	* Tooth extraction		*Tooth extraction

	== Management ==		==Management==

			*Unless clearly monomicrobial, should treat broadly and include good anaerobic coverage
	* Antibiotics
			**Either a β-lactam plus [[metronidazole]], or [[clindamycin]]
⚫	* Rarely, surgical intervention
			*Antibiotics usually for 6 to 8 weeks
			*Can follow progress radiographically
		⚫	*Rarely, surgical intervention

	[[Category:Respiratory infections]]		[[Category:Respiratory infections]]

Aidan: Aidan moved page Respiratory Lung abscess to Lung abscess without leaving a redirect

2019-08-16T10:00:59Z

Aidan moved page Respiratory Lung abscess to Lung abscess without leaving a redirect

← Older revision		Revision as of 10:00, 16 August 2019
(No difference)

Aidan at 10:00, 16 August 2019

2019-08-16T10:00:51Z

← Older revision		Revision as of 10:00, 16 August 2019
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	= Lung abscess =

	== Microbiology ==		== Microbiology ==

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	* Antibiotics		* Antibiotics
	* Rarely, surgical intervention		* Rarely, surgical intervention

			[[Category:Respiratory infections]]

Maintenance script: Imported from text file

2019-08-11T18:05:56Z

Imported from text file

New page

= Lung abscess =

== Microbiology ==

* Usually polymicrobial, including oral anaerobes
* Can also be monomicrobial, caused by ''Klebsiella'', ''Staphylococcus aureus'', ''Pseudomonas aeruginosa'', ''Burkholderia pseudomallei'' (melioidosis), ''Pasteurella multocida'', group A streptococcus, ''Haemophilus influenzae'' types b and c, ''Legionella'' spp., ''Rhodococcus equi'', ''Actinomyces'' spp., and ''Nocardia'' spp.

== Pathophysiology ==

* Mostly from chronic aspiration

== Risk Factors ==

* Chronic aspiration from any etiology
** '''Alcohol use disorder'''
** Seizures, stroke, drug overdose, general anesthesia
* Dysphagia or respiratory dysfunction from ALS, Parkinson’s disease, or stroke
* Tooth extraction

== Management ==

* Antibiotics
* Rarely, surgical intervention