[Two cases of lung abscesses successfully treated with percutaneous drainage].

Abstract

We report two cases of lung abscesses treated with percutaneous drainage. <Case1> A 69-year-old man with diabetes mellitus was admitted to our hospital because of fever. Chest radiograph and chest CT scan demonstrated a lung abscess adjacent to the chest wall in right S10. Antibiotics did not achieve an adequate response. A drainage catheter was inserted percutaneously. We washed the abscess cavity daily using 1% povidone iodine saline. There was a clear improvement on the chest radiograph. <Case2> A 74-year-old man with cerebral infarct was admitted to our hospital because of persistent cough and fever. Chest radiograph and chest CT scan demonstrated a lung abscess adjacent to the chest wall in left S10. Antibiotics did not achieve an adequate response. A drainage catheter was inserted percutaneously. We washed the abscess cavity daily using 1% povidone iodine saline. There was a clear improvement on the chest radiograph. We think that percutaneous drainage is a very useful method to treat lung abscesses in which antibiotics do not achieve an adequate response.

• Authors: Tetsuo Noguchi, Jun Nohara, Yasuto Sakaguchi, Ei Nakayama, Yasuji Terada
• Journal: Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society (Nihon Kokyuki Gakkai Zasshi) Vol. 45 Issue 8 Pg. 631-5 (Aug 2007) ISSN: 1343-3490 [Print] Japan
• PMID: 17763693 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Infective Agents, Local
• Povidone-Iodine

Topics

• Aged
• Anti-Infective Agents, Local (administration & dosage)
• Catheterization (instrumentation)
• Drainage (methods)
• Humans
• Lung Abscess (diagnostic imaging, therapy)
• Male
• Povidone-Iodine (administration & dosage)
• Tomography, X-Ray Computed