Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
The patient was an 18 year old male with fever, cough, and halitosis. The patient's past medical history was remarkable for diabetes mellitus.
Clinical Physical Exam:
Clinical Differential Diagnosis:
Outside PA and lateral chest films from the first hospital day showed an air fluid level in the right lower lobe. This lesion was better demonstrated on a chest CT exam performed the next day.
Images 1 and 2
Imaging Differential Diagnosis:
On the second hospital day, after the chest CT exam, this pulmonary abscess was drained under ultrasound and fluoroscopic guidance and a sump catheter was left in place. An air leak was later noted between the bronchus and the lung abscess so the abscess catheter was placed to a water seal in a Pleurovac.
The cultures of the abscess grew out Strep milleri, an anaerobe.
Follow-up and Prognosis:
The patient had an uncomplicated post-drainage course.
Case 5, Case 52
Please send us comments by filling out our Comment Form.
All contents copyright © 1992-2017 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.
"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.
Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.