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• W2951667874 abstract "L’abcès du poumon est une lésion cavitaire nécrotique du parenchyme pulmonaire. Il est généralement secondaire à une inhalation de bactéries anaérobies ou d’une flore mixte. Les abcès pulmonaires primaires surviennent chez des patients auparavant en bonne santé, sans comorbidités sous-jacentes. Ils sont souvent solitaires. Les abcès pulmonaires secondaires se développent plutôt chez des patients présentant des pathologies sous-jacentes et peuvent être multiples. Le diagnostic est généralement porté sur la radiographie thoracique montrant une cavité pulmonaire avec un niveau hydro-aérique. Typiquement, l’abcès pulmonaire est entouré d’une paroi épaisse et irrégulière avec un infiltrat pulmonaire tout autour. Les diagnostics différentiels de la cavitation pulmonaire sont multiples. Il peut s’agir d’autres types d’infections, de néoplasies ou de malformations bronchiques. La prise en charge repose généralement sur un traitement antibiotique prolongé. L’échec du traitement initial peut se manifester par une septicémie ou des complications nécessitant un drainage percutané, endoscopique ou le recours à la chirurgie. Lung abscesses are necrotic cavitary lesions of the lung parenchyma. They are usually caused by anaerobic bacteria or mixed flora and typically occur after aspiration. Primary lung abscesses occur in previously healthy patients with no underlying medical disorders and are usually solitary. Secondary lung abscesses occur in patients with underlying or predisposing conditions and may be multiple. The initial diagnosis is usually made by chest radiography showing a lung cavity with an air-fluid level. Typically, the cavity wall is thick and irregular, and a surrounding pulmonary infiltrate is often present. The differential diagnosis of pulmonary cavitation is wide, including different types of possible infections, neoplasia and malformations of the bronchial tree. Management is usually based on prolonged antibiotic treatment. Failure of conservative management, manifested by the persistence of sepsis and/or other abscess complications, may necessitate drainage with invasive techniques (percutaneous, endoscopic or surgical) or open surgical removal of the lung lesion in patients with good performance status and sufficient respiratory reserve." @default.
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• W2951667874 date "2019-06-01" @default.
• W2951667874 modified "2023-10-03" @default.
• W2951667874 title "Abcès du poumon : diagnostic et prise en charge" @default.
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• W2951667874 doi "https://doi.org/10.1016/j.rmr.2018.07.010" @default.
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