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Peri-emphysematous lung infection.

D A Mahler, N D D'Esopo

    Clinics in Chest Medicine
    |January 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Pulmonary infection in bullous emphysema is often misdiagnosed due to its benign presentation and slow radiographic resolution. The study suggests "periemphysematous lung infection" as a more accurate term than "infected emphysematous bullae."

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    Area of Science:

    • Pulmonology
    • Radiology
    • Infectious Diseases

    Background:

    • Pulmonary infections in bullous emphysema present diagnostic challenges.
    • Misclassification can lead to confusion with tuberculosis, fungal diseases, and lung cancer.
    • Radiographic resolution of these conditions is often slow, mimicking resolving pneumonias.

    Purpose of the Study:

    • To clarify the classification and terminology of pulmonary infections occurring in the context of bullous emphysema.
    • To differentiate these conditions from true bacterial infections within emphysematous bullae.
    • To propose a more accurate descriptive phrase for these clinical-radiological findings.

    Main Methods:

    • Review of clinical presentations and radiographic findings in patients with pulmonary conditions in emphysematous lungs.

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  • Exclusion of endobronchial lesions via fiberoptic bronchoscopy.
  • Analysis of available bacteriologic data from intrabullous fluid sampling (where reported).

    • Main Results:

    • The clinical picture is typically benign, with slow radiographic resolution.
    • Bacteriologic data supporting infection within bullae containing fluid is generally absent or negative.
    • The phrase "infected emphysematous bullae" is considered misleading due to lack of evidence for bacterial infection.

    Conclusions:

    • Pulmonary conditions in bullous emphysema are often misidentified.
    • The term "periemphysematous lung infection" is proposed as a more fitting description.
    • Physicians should consider gradual resolution after excluding endobronchial obstruction.