Single abscess: Usually due to pneumonia, tuberculosis or foreign body and, occasionally, following rupture of amebic liver abscess in to lung or super added infection of hydatid cyst.
Multiple abscesses: Usually due to pneumonia, tuberculosis, cystic fibrosis, fungus infection, leukemia's, agammaglobulinemia etc.
If an abscess fails to resolve, it may cause pleurisy, pleural effusion or empyema.
Acute abscesses usually develop during the course of staphylococcal pneumonia and resolve spontaneously with suitable treatment.
Chronic abscesses have insidious onset with fever, persistent cough and foul-smelling sputum.
At times, dyspnea and chest pain may be there. Clubbing develops if the patient remains without
treatment over a prolonged period.
Chest signs are usually those of consolidation with bronchial breathing.
X-ray chest shows characteristic opacities. The cavities may show fluid levels.
- Appropriate antibiotics
- Postural drainage
- Breathing exercise
- Surgical resection of the particular segment or lode should only be done when the medical measures have failed. surgical drainage is obsolete now.