Abstract
Lung abscess was successfully treated with percutaneous drainage in 5 of 6 patients. Complete abscess resolution occurred in 4 patients, partial resolution in one, and no response in one. The duration of drainage ranged from 7 to 18 days (mean 15.5 days) in successful cases. The failure of drainage in one neurologically impaired patient was attributed to persistent aspiration. In 2 patients, concurrent pleural empyema was also cured. CT provided the anatomic details necessary for choosing the puncture site and avoiding puncture of the lung parenchyma. Percutaneous catheter drainage is a safe and effective method for treating lung abscess.
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References
1.
Aronberg
D. J.
Sagel
S. S.
Jost
R. G.
Lee
J. I.
: Percutaneous drainage of lung abscess . AJR
132 (1979 ), 282 .
2.
Ball
W. S.
Bisset
G. S.
III Jr.
Towbin
R. B.
: Percutaneous drainage of chest abscesses in children . Radiology
171 (1989 ), 431 .
3.
Delarue
N. C.
Pearson
F. G.
Nelems
J. M.
Cooper
J. D.
: Lung abscess . Surgical implications. Can. J. Surg.
23 (1980 ), 297 .
4.
Estrera
A. S.
Platt
M. R.
Mills
L. J.
Shaw
R. R.
: Primary lung abscess . J. Thorac. Cardiovasc. Surg.
79 (1980 ), 275 .
5.
Fifer
W. R.
Husebye
K.
Chedister
C.
Miller
M.
: Primary lung abscess . Arch. Intern. Med.
107 (1961 ), 100 .
6.
Gobien
R. P.
Stanley
J. H.
Gobien
B. S.
Vujic
I.
Pass
H. F.
: Percutaneous catheter aspiration and drainage of suspected mediastinal abscesses . Radiology
151 (1984 ), 69 .
7.
Perlman
L. V.
Lerner
E.
D'Esopo
N.
: Clinical classification and analysis of 97 cases of lung abscess . Am. Rev. Respir. Dis.
99 (1969 ), 390 .
8.
Shaw
R. R.
Pauson
D. I.
: Pulmonary resection for chronic abscess of the lung . J. Thorac. Surg.
17 (1948 ), 514 .
9.
Vainrub
B.
Musher
D. M.
Guinn
G. A.
Young
E. J.
Septimus
E. J.
Travis
L. L.
: Percutaneous drainage of lung abscess . Am. Rev. Respir. Dis.
117 (1978 ), 153 .
10.
VanSonnenberg
E. M.
Muller
P. R.
Ferrucci
J. T.
Jr
: Percutaneous drainage of 250 abdominal abscesses and fluid collection. 1. Results, failure, and complications . Radiology
151 (1984 ), 267 .
11.
VanSonnenberg
E. M.
Nakamoto
S. K.
Muller
P. R.
: CT and ultrasound-guided catheter drainage of empyemas after chest tube failure . Radiology
151 (1984 ), 349 .