What is an abscess breaking into the chest?

summary

What is an abscess breaking into the chest? Lung abscess chest pain in the elderly: inflammatory lesions involving the pleura caused by breathing pain aggravation. If the abscess breaks into the chest, it can form empyema, Pyopneumothorax, or encapsulated empyema due to cellulose package. The patient's respiratory movement is limited and shortness of breath is aggravated.

What is an abscess breaking into the chest?

Pulmonary abscess is caused by a variety of pyogenic bacteria, mycobacteria, fungi or parasites. The most common pathogens are anaerobe, such as Streptococcus Alimentarius, Fusobacterium, melaninogens, Bacteroides fragilis, and Porphyromonas; Secondly, a variety of Gram-negative bacteria and Gram-positive bacteria, such as Escherichia coli, Klebsiella, Enterobacter cloacae, Citrobacter freundii, Acinetobacter loffei, Haemophilus influenzae, Haemophilus parainfluenzae, Legionella, Staphylococcus aureus, Streptococcus, Enterococcus faecalis, rare bacteria are Pseudomonas aeruginosa, Streptococcus pneumoniae, etc; In addition, some fungal infections can cause cavities in patients with diabetes and immunosuppressive patients,

Onset: Patients with acute lung abscess may have oropharyngeal infection and risk factors for aspiration, or have a history of cold and fatigue. The onset of the disease can be sudden. The patient is afraid of cold and high fever. After 8-14 days, the cavity in the lung is formed. The patient coughs a lot of purulent stinky sputum, and the temperature drops significantly. In a small number of patients can also occult onset, fatigue, cough and low fever for several weeks, or even longer. Pulmonary abscess secondary to pneumonia can appear 2-3 weeks after the disease. At this time, pneumonia should be cured, but high fever occurs again, the amount of sputum increases, and fatigue often occurs.

Prognosis: the mortality of acute lung abscess was 34% in the past, and it was less than 5% after the use of antibiotics. After timely and reasonable treatment, the body temperature can be normal in 7-21 days, but it takes several months to close the abscess cavity. Chronic lung abscess can be combined with brain abscess, other metastatic abscesses, amyloidosis, fatal massive hemoptysis and bronchopleural fistula and other complications.

matters needing attention

Prevention: the preventive measures for pulmonary abscess caused by anaerobic bacteria are limited. Strengthen the nursing for the patients with consciousness disorder to prevent the inhalation of secretions and vomitus; Attention should be paid to oral hygiene, treatment of oral and periodontal diseases and timely and correct use of antibiotics in the treatment of pulmonary infection.