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Lung abscess is a pathological process characterized by the formation of a limited cavity in the lung tissue as a result of its necrosis and purulent fusion.
The main pathogens
The development of lung abscess is primarily associated with anaerobic flora - Bacteroides spp., F.nucleatum, Peptostreptococcus spp., P.niger - often in combination with enterobacteria (due to aspiration of the contents of the oropharynx).
Drugs of choice: amoxicillin / clavulanate, ampicillin / sulbactam or cefoperazone / sulbactam iv; iv benzylpenicillin, then amoxicillin inside (step therapy); benzylpenicillin + iv metronidazole, then amoxicillin + metronidazole inside (step therapy).
Alternative drugs: lincosamides + aminoglycosides of the II-III generation; fluoroquinolones + metronidazole; carbapenems.
The duration of therapy is determined individually.
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- Lung abscess
A lung abscess occurs as a result of a primary pulmonary infection, with a bronchial obstruction by a tumor, or, in rare cases, with a hematogenous spread of systemic infection. It is necessary to separate the lungs as early as possible in order to prevent the ingestion of pus from the diseased lung into a healthy one. Fast sequential induction by a non-inhalation anesthetic and endobronchial intubation at
- PNEUMONIA AND LUNG ABCESS
J. V. Hirschman, J. F. Murray (Jan V. Hirschman, John F. Murray) Pneumonia Definition. Pneumonia is an inflammation of the pulmonary parenchyma, i.e., part of the lungs that is distally localized to the terminal bronchioles and includes bronchioles, alveolar passages and sacs and the alveoli themselves. Despite the fact that inflammation can be due to various reasons and varies by
- LUNG CANCER
Lung cancer is a malignant tumor that develops from the integumentary epithelium of the bronchial mucosa and the epithelium of the mucous glands. In all economically developed countries, the problem of lung cancer is one of the most important and at the same time complex in modern oncology. This is due to the steady increase in morbidity and mortality, difficulties in timely diagnosis and not,
- Lung cancer
• Among malignant tumors, it ranks first in terms of male morbidity and mortality in most countries of the world. It has a poor prognosis. Classification of lung cancer 1. By location. • Basal (central) cancer coming from the trunk, lobar bronchi and the proximal part of the segmental bronchus. • Peripheral cancer emanating from the smaller bronchi,
- Lung injuries
Injuries to the lung are very heterogeneous in form, location, depth and volume of damage. Distinguish tangents (affect the surface of the parenchyma), through and blind wounds. The wound canal can be narrow, gutter-shaped (with slight destruction of the lung tissue and pleura) or wide gaping without damage to the large bronchi or with their damage. Blind wounds may vary in depth.
- LUNG CANCER
(bronchial carcinoma, bronchogenic cancer) is a malignant tumor that develops from the integumentary epithelium of the bronchial mucosa and the epithelium of the mucous glands. The main clinical manifestations Despite the variety of clinical manifestations depending on the location of the cancer in the lung, all patients in the initial period complain of "unmotivated" general weakness, subfebrile condition, dry
- DIAGNOSIS OF LUNG CANCER
Early diagnosis. A screening study of people at increased risk of developing lung cancer (men over 45 years of age who smoke more than 40 cigarettes per day) with a sputum cytogram and chest x-ray every 4 months can detect the disease in 4-8 cases out of 1000 patients (among they are dominated by individuals with an asymptomatic debut of bronchogenic
- Molecular pathology of lung cancer.
The molecular pathology of lung cancer studies the combination of morphological and molecular genetic characteristics of this tumor. Moreover, the most important aspects of the problem are the determination of biomolecular and histogenetic markers of cancer, as well as the pathology of apoptosis in lung cancer. Biomolecular markers of lung cancer are diverse, apparently coinciding with markers of non-radiation
- Single lung transplant
To reduce blood loss, transplantation of one lung is often performed without connecting an AIK. Access is via posterior TO-racotomy. For one-lung ventilation, a left-sided double-lumen endobronchial tube or a single-lumen endotracheal tube with an integrated bronchial blocker is used. After collapsing the removed lung and applying a clamp to the ipsilateral
- Bruised lung
A strong blow to the chest can cause bruising (contusion) or damage to the lung on the exposure side or on the opposite side ("contrecoup"). These injuries cause local hemorrhage in the lung tissue and edema, which violate the ventilation-blood flow relationship, which leads to hypoxemia, sometimes severe. Hemoptysis often occurs. Lung contusion should be suspected in all
- Brain Abscess
Clinic. An abscess of the brain is a limited abscess in the brain tissue - intracerebral, or epidural, subdural. It is caused by streptococci, staphylococci, pneumococci, etc. Contact pathogens (otogenically determined), metastatic (pneumonia, lung abscess), bronchiectatic abscesses and abscesses arising from open craniocerebral injuries are distinguished pathogenetically.
- Epidural Abscess
Epidural abscess - an infectious process that develops between the bones of the skull and the outer leaf of the dura mater, may be accompanied by osteomyelitis. Due to the fact that the pathogen easily penetrates through the dura mater along the emissary veins, subdural empyema is often accompanied by an epidural abscess. Major causative agents The most common cause of