Symptoms of tuberculous abscess

summary

Lung abscess is the inflammation and necrosis of lung tissue caused by pyogenic bacteria infection, and then form lung abscess. If it is connected with bronchus, purulent cavity appears. Clinically, it is characterized by high fever, cough and a large amount of smelly pus sputum. According to the causes of the disease, there are three types of infection: the type of trachea infection, the type of blood infection, and the type of infection caused by multiple abscesses and lung cancer. Pulmonary abscesses can also be classified according to related pathogens, such as staphylococcal, anaerobic or Aspergillus pulmonary abscesses. The symptom of tuberculous abscess? Let's talk about it

Symptoms of tuberculous abscess

1. Symptoms: acute onset, chills, high fever, body temperature up to 39-40 ℃, accompanied by cough, cough mucus sputum or mucopurulent sputum. Inflammation involving parietal pleura can cause chest pain and is related to respiration. Shortness of breath may occur when the lesion is large. In addition, there are also symptoms of systemic poisoning, such as depression, general fatigue, loss of appetite, etc. If the infection can not be controlled in time, patients cough a lot of purulent sputum, some patients have varying degrees of hemoptysis. Hematogenous pulmonary abscess usually has the symptoms of infection and poisoning such as chills and high fever caused by the primary lesion. After a few days or weeks before cough, expectoration, sputum volume is not much, very little hemoptysis. Chronic lung abscess patients often have irregular fever, cough, expectoration, emaciation, anemia and other symptoms.

2. Signs: lung signs are related to the size and location of lung abscess. In the early stage, there were no abnormal signs. After the abscess formed, the lesion site was diagnosed as dullness, and the respiratory sounds were reduced. After a few days, the bronchial respiratory sounds and moist rales could be heard; With the enlargement of lung abscess, the sound of empty jar may appear; Pleural friction sound or pleural effusion sign could be heard when the lesion involved pleura.

3. Chronic lung abscess often has clubbing fingers (toes). There were no positive signs in the lungs of blood borne pulmonary abscesses. The onset of acute aspiration pulmonary abscess is sudden. The patient is chilly and febrile. The temperature can be as high as 39-40 ℃. With cough, cough mucus sputum or mucus purulent sputum. Inflammation involving the local pleura can cause chest pain. The range of lesions is large, and shortness of breath may occur. In addition, there is also depression, fatigue, poor appetite. After about 10-14 days, the cough became more severe, the abscess broke into the bronchus, and a large amount of purulent sputum was coughed up, up to 300-500ml per day. The body temperature dropped immediately. Because the pathogenic bacteria are mostly anaerobes, the sputum has a fishy smell. Sometimes there is blood in the sputum or a moderate amount of hemoptysis. Chronic lung abscess patients have chronic cough, expectoration, repeated hemoptysis, secondary infection and irregular fever, often anemia, emaciation, chronic consumption disease. 　　

matters needing attention

Diet therapy: due to the abscess of lung tissue, in the case of serious systemic consumption, repair is difficult, the body needs strong support therapy, in addition to giving the necessary blood transfusion, rehydration, mainly rely on the patient's own nutrition, give high protein, high vitamin, high calorie, easy to digest food, poor appetite can be a small number of meals.