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Lung Abscess Overview Etiology Pathogenesis Pathology Clinical Symptoms Diagnosis Physical examination Differential Diagnosis Complications Prognosis Lung abscess is a suppurative lesions accompanied by necrosis of tissue in it. Etiology Germs cause usually consist of a mixture of aerobic and anaerobic bacteria such as: peptokokus, peptostreptokokus, fusobakterium spp, bakteroides spp, which is the flora of oropharynx. An abscess can occur because: aspiration, complications of pneumonia , lung trauma wounds are infected, and infected with pulmonary infarction or originating from empyema . In the subsequent discussion only lung abscess caused by the aspiration to be described further. Pathogenesis Infection will easily arise when there predisposing factors, such as: A source of infection is an infection of the respiratory tract mouth, larynx tumors infected, infected bronchiectasis, and lung tumors are infected. The resistance of the airways that decrease, due to disorders such as la...

1. General management: Improving the general condition of patients with high-calorie high-protein diet and drink plenty of fluids. a. Antibiotics. Procaine penicillin G given 1.2 million units im every 12 hours + chloramphenicol 500 mg every 6 hours for 10-15 days. or Procaine penicillin G 1.2 million units i.m. every 12 hours + Metronidazole 500 mg every 6 hours for 10-15 days. or Clindamycin 600 mg every 8 hours for 10-15 days. b. Postural drainage and physiotherapy. The position of the body are arranged so that pus can come out by itself (due to gravity) or with the help of the physiotherapist. 2. Special Treatment: a. Bronchoscopy If pus is difficult exit, it is necessary to bronchoscopy to clear the airway and sucking pussy. b. Surgery When chemotherapy failed. A chronic abscess, cavity remains and sputum production remained there while the clinical symptoms are still present after adequate therapy for 6 weeks or the rest of extensive scar tissue that can interfere with l...