ABSTRACT

Pulmonary abscess is an infection of the lung parenchyma that produces necrosis and the formation of a cavity. Recent publications with respect to pulmonary abscess are scarce and to date the information on Mexican patients has not been published in the medical literature. Material and methods: Retrospective analysis of 34 cases of pulmonary abscess in adults treated in a teaching hospital. Results: The associated features were smoking in 55.8%, periodontal disease in 52.9% and diabetes in 44.4%. Sixty one percent of the lesions were found in the right lung and 38.8% in the left lung. The upper and lower lobes of the right lung presented with lesions 27.7% each one. The middle lobe with only 5.5%. Almost a third of the samples grew Klebsiella pneumoniae. No in-hospital mortality was not reported. Conclusion: In this series a high prevalence of patients with diabetes mellitus and aisles with Klebsiella pneumoniae were observed.

KEYWORDS

Lung abscess, diabetes, Klebsiella pneumoniae.

REFERENCES

1. Mandell, Benett, Dolin. Principles and practice of infectious disease. Chapter 63. www.ppidonline.com.

2. Mwandumba HC, Beeching NJ. Pyogenic lung infections: factors for predicting clinical outcome of lung abscess and thoracic empyema. Curr Opin Pulm Med 2000; 6: 234-239.

3. Smith DT. Experimental aspiratory abscess. Arch Surg 1927; 14: 23.

4. Smith DT. Fuso-spirochetal disease of the lungs. Tubercle 1928; 9: 420.

5. Smith DT. Medical treatment of acute and chronic pulmonary abscesses. J Thorac Surg 1948; 17: 72.

6. Hirshberg B, Sklair-Levi M, Nir-paz R, Krivoruk V, Kramer M. Factors predicting mortality of patients with lung abscess. Chest 1999; 115: 746-750.

7. Hagan JL, Hardy JD. Lung Abscess revisited, a survey of 184 cases. Ann Surg 1983; 197: 755-61.

8. Moreira Jda S, Camargo Jde J, Felicetti JC, Goldenfun PR, Moreira AL, Porto Nda S. Lung abscess: Analysis of 252 consecutive cases diagnosed between 1968 and 2004. J Bras Pneumol 2006; 32: 136-43.

9. Pena N, Munoz F, Vargas J, Alfageme I, Umbria S, Florez C. Yield of percutaneous leedle luna aspiration in luna abscess. Chest 1990; 97: 69-74.

10. Wang JL, Chen KY, Fang CT, Hsueh PR, Yang PC, Chang SC. Changing bacteriology of adult community-acquired lung abscess in Taiwan: Klebsiella pneumoniae versus Anaerobes. CID 2005; 40: 915-22.

11. Ti TY, Tan WC, Chong AP, Lee EH. Nonfatal and fatal infections caused by Chromobacterium violaceum. Clin Infect Dis 1993; 17: 505-7.

12. Tee HP, Francis AL, How SH. Chromobacterium violaceum infection. Br J Hosp Med 2006; 67: 208-9.

13. Hassan H, Suntharalingam S, Dhillon KS. Fatal Chromobacterium violaceum septicaemia. Singapore Med J 1993; 34: 456-8.

14. Weiss W. Oral antibiotic therapy of acute primary lung abscess: Comparison of penicillin and tetracycline. Curr Ther Res Clin Exp 1970; 12: 154.

15. Bartlett JG. Lung abscess and necrotizing pneumonia. In: Gorbach SL, Bartlett JG, Blacklow, NR (Eds). Infectious Diseases. WB Saunders, Philadelphia 1992.

16. Weiss W, Cherniack NS. Acute nonspecific lung abscess: A controlled study comparing orally and parenterally administered penicillin G. Chest 1974; 66: 348.

17. Allewelt M, Schu¨ler P, Bo¨lcskei PL, Mauch H y Lod H. Ampicillin + sulbactam vs clindamycin ± cephalosporin for the treatment of aspiration pneumonia and primary lung abscess. Clin Microbiol Infect 2004; 10: 163-70.