Title: Microbiological Pattern in Sputum Culture in Patients of Lung Abscess

Authors: Dr Dharmendra Kumar Mekle, Dr Soniya Saxena, Dr Nishant Shrivastava

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i11.101

Abstract

Introduction

Lung abscess is defined as a circumscribed area of pus or necrotic debris in lung parenchyma, which leads to a cavity. It is a type of liquefactive necrosis of the lung tissue and formation of cavities (more than 2 c.m)(1). It is containing necrotic debris or fluid caused by microbial infection.

Lung abscess is considered primary when it results from existing lung parenchymal disease it is accounts around 60%.(2) and it termed secondary when it complicates another process e.g., extra pulmonary abscess rupture or vascular emboli. Cavity of lung abscess may complicates after formation of bronchopulmonary fistula, and air fluid level is seen inside the cavity(3).

References

  1. Bartlett JG, Finegold SM (1972) “Anaerobic pleuropulmonary infections”. Medicine (Baltimore) 51 (6) : 413-50. doi-10.1097/ 00005792 -19721000-00001. PMID 4564416.
  2. “Pneumonia and other pulmonary infections: Lung abscess Med Scape”. Archived from the original on 2007-10-11. Retrieved 2007-06- 20.
  3. Seo H, Cha SI, Shin KM, et al. Focal necrotizing pneumonia is a distinct entity from lung abscess. Respirology 2013; 18 : 195-100.
  4. Bartelett JG. The role of anaerobic bacteria in lung abscess. Clin infect Dis 2005; 40:923-5.
  5. Gon Calves AM, Menezes Falcao L, Ravara L. Pulmonary Abcess, a revivion. Rev Port Pneuumol 2008, 14:141-9.
  6. Magalhaes L, Valadares D, Oliveira JR, et al. Lung abscess : Review of 60 cases Rev Port Pneumol 2009; 15:165-78.
  7. Ando K, Okhumi Y, Matyunuma R, et al. Prognostic lung abscess factors kansenshogaku Zasshi 2010, 84 : 425-30.
  8. Bartlett JG, Finegold SM. Anaerobic infection of lung and pleural space. Am rev respire dis. 1974. July 110(1) : 56-77 (Medline).

Corresponding Author

Dr Dharmendra Kumar Mekle

Senior Resident, Department of Medicine

Gandhi Medical College, Bhopal