[Patient with a lung abscess, primarily treated with drainage followed by antibiotics]
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E R Heddema1, J P Teengs, P W A Kunst
1Afd. Interne Geneeskunde, Kennemer Gasthuis, locatie Deo, Haarlem. e.r.heddema@amc.uva.nl
Abstract:
A 45-year-old woman presented herself with coughing, nocturnal sweating, weight loss, and chest pain, left laterally. In the previous 5 months she had been treated twice with antibiotics due to a suspected pneumonia. With the help of a CT scan, 2 subpleural lung abscesses were diagnosed. The primary treatment was CT-guided drainage, as a result of which the largest abscess was emptied and a microbiological diagnosis could be established. Subsequently, the patient made a quick recovery with the help of specific antibiotics. It might be better to drain lung abscesses, especially subpleural ones, at an early stage rather than wait for the results of a trial treatment with antibiotics.
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