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Lung Abscess

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Pediatric Thoracic Surgery

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Abstract

A lung abscess is a thick-walled cavity that contains purulent material [1–2]. It is a rare condition in children. It arises as a complication of a poorly controlled pneumonia, and has an estimated incidence of 0.7 per 100,000 hospital admissions/year. A lung abscess can be defined to be “primary” if it occurs in a previously healthy child or “secondary” if underlying conditions predispose to the onset of the abscess [1–8]. It can be “acute” or “chronic” if it has been present for >6 weeks [1, 9].

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References

  1. John Hewitson (2009) Lung abscess. In: Pediatric thoracic surgery. Springer-Verlag, London, p 145–159

    Chapter  Google Scholar 

  2. Patradoon-Ho P, Fitzgerald DA (2007). Lung abscess in children. Paediatr Respir Rew 8:77–84

    Article  Google Scholar 

  3. Mark PH, Turner JAP (1968) Lung abscess in childhood. Thorax 23:216–20

    Article  PubMed  CAS  Google Scholar 

  4. McCracken GH Jr (1978) Lung abscess in childhood. Hosp Prac 13:35–36

    Google Scholar 

  5. Brook I (1993) Lung abscess and pleural empyema in children. Adv Pediatr Infect Dis 8:159–176

    PubMed  CAS  Google Scholar 

  6. Chan PC, Huang LM, Wu PS et al (2005) Clinical management and outcome of childhood lung abscess: a 16 year experience. J Microbiol Immunol Infect 38:183–188

    Google Scholar 

  7. Asher MI, Spier S, Beland M, Coates AL, Beaudry PH, (1982). Primary lung abscess in childhood. Am J Dis Child 136:491–494

    PubMed  CAS  Google Scholar 

  8. Puligandla PS, Laberge JM (2012). Infections and diseases of the lungs, pleura and mediastinum. In: Coran AG (ed). Pediatric surgery (seventh edn) Elsevier Saunders, Philadelphia p 855–880

    Chapter  Google Scholar 

  9. Hagan JL, Hardy JD (1982) Lung abscess revisited: a survey of 184 cases. Ann Surg 197:755–756

    Article  Google Scholar 

  10. Thomas CC (1978) Lobar pneumonia. Hippocrates. In: Major RH (ed) Classic description of disease (3rd edn). Springfield, pp 561–562

    Google Scholar 

  11. Guillemot L, Halle J, Rist E (1904) Recherches bactériologiques et experimentales sur des pleurisies putrides. Arch Med Exp Anat Pathol 16:571–574

    Google Scholar 

  12. Brock RC, Hodgkiss F, Jones HO (1942) Bronchial embolism and posture in relation to lung abscess. Guy’s Hosp Rep 91:131–134

    Google Scholar 

  13. Neuhof H, Touroff ASW (1936) Acute putrid abscess of the lung: principles of operative treatment. Surg Gynecol Obstet 63:353–368

    Google Scholar 

  14. Welch KJ (1979) Lung abscess. In: Ravitch MM, Welch KJ, Benson CA (eds) Pediatric Surgery. Year Book Medical, Chicago, p 557–563

    Google Scholar 

  15. Conners JP, Rober CL, Ferguson TB (1975) Transbronchial catheterization of pulmonary abscess. Ann Thorac Surg 19:254–258

    Article  Google Scholar 

  16. Groft DB, Marquis J (1973) Treatment of lung abscess by transbronchial catheter drainage. Diag Radiol 107:61–66

    Google Scholar 

  17. Lakser O (2004) Pulmonary abscess. In: Behrman RE, Kliegman RM, Jenson HB (eds) Nelson textbook of pediatrics (seventeenth edn), Elsevier Saunders, Philadelphia

    Google Scholar 

  18. Brook I (2006) Lung abscess and pulmonary infections due to anaerobic bacteria. In: Chernick V, Boat TF, Wilmott RW et al (eds). Kendig’s disorders of the respiratory tract in children (seventh edn), Elsevier Saunders, Philadelphia, pp 172–191

    Google Scholar 

  19. Mitchell JD, Pomerantz M. (2009) Infectious lung diseases. In: Sellke FW, Del Nido PJ, Swanson SJ (eds). Sabiston and Spencer surgery of the chest (seventh edn), Elsevier Saunders, Philadelphia

    Google Scholar 

  20. Crawford SE, Daum R S (2008). Bacterial pneumonia, lung abscess and empyema. In: Taussing LM, Landau LI (eds). Pediatric respiratory medicine (second edn), Elsevier, London p 501–553

    Chapter  Google Scholar 

  21. Brook I (2004) Anaerobic pulmonary infection in childen. Pediatr Emergen Care 20:636–640

    Article  Google Scholar 

  22. Reynolds M (1998) Disorders of the thoracic cavity and pleura and infections of the lung, pleura and mediastinum. In O’Neill Jr. JA, Rowe MI, Grosfeld JL, Fonkalsrud EW, Coran AG (eds) Pediatric Surgery (fifth edn), Mosby, New York, p 899–919

    Google Scholar 

  23. Bartlett JG, Finegold SM (1974) Anaerobic infections of the lung and pleural space. Am Rev Respir Dis 110:56–77

    PubMed  CAS  Google Scholar 

  24. Kosloske AM, Ball WS, Butler C, Musemeche CA (1986). Drainage of pediatric lung abscess by cough, catheter or complete resection. J Pediatr Surg; 21:596–600

    Article  PubMed  CAS  Google Scholar 

  25. Puligandla PS, Laberge JM (2008) Respiratory infections: pneumonia, lung abscess, and empyema. Semin Pediatr Surg 17:42–52

    Article  PubMed  Google Scholar 

  26. Mwandumba HC., Beeching NJ (2000) Pyogenic lung infections: factors for predicting clinical outcome of lung abscess and thoracic empyema. Curr Opin Pulm Med 6:234–239

    Article  PubMed  CAS  Google Scholar 

  27. Fisher MC. (1998). Lung abscess and other anaerobic pulmonary Infections. Semin Pediatr infect Dis 9:199–204

    Article  Google Scholar 

  28. Moreira Jda S, Camargo Jde J, Felicetti JC et al (2006) Lung abscess: analysis of 252 consecutives cases diagnosed between 1968 and 2004. J Bras Pneumol 32:136–143

    Google Scholar 

  29. Marina M, Strong CA, Civen R, Molitoris E, Finegold SM (1993). Bacteriology of anaerobic pleuropulmonary infections: preliminary report. Clin Infect Dis 16 (Suppl. 4):S256–S262

    Article  PubMed  Google Scholar 

  30. Collins T (1999) Acute and chronic inflammation. In: Cotran RS, Kumar V, Collins T (eds) Pathologic basis of disease (sixth edn), WB Saunders, Philadelphia, p 57–79

    Google Scholar 

  31. Brook I (1989) Controversies in anaerobic infections in childhood. Curr Probl Pediatr 17: 563–620

    Google Scholar 

  32. Brook I, Finegold SM (1979) Bacteriology and therapy of lung abscess in children. J Pediatr 94:10–12

    Article  PubMed  CAS  Google Scholar 

  33. Brook I (1995) Anaerobic infections in children with neurological impairments. Am J Mental Retard 99:579–594

    CAS  Google Scholar 

  34. Brook I, Finegold SM (1980) Bacteriology of aspiration pneumonia in children. Pediatrics 65:1115–1120

    PubMed  CAS  Google Scholar 

  35. Gorbach SI, Bartlett JG (1974) Anaerobic infections. N Engl J Med 290:1237–1245

    Article  PubMed  CAS  Google Scholar 

  36. Brook I (1990) Microbiology of empyema in children and adolescents. Pediatrics 85:722–726

    PubMed  CAS  Google Scholar 

  37. Vincent MT, Glodman BS (1994). Anaerobic lung infections. Am Family Phisician 49:1815–1820

    CAS  Google Scholar 

  38. Hammond JMJ, Potjeter PD, Hanslo D et al. (1995). The etiology and antimicrobial susceptibility patterns of microorganisms in acute community-acquired lung abscess. Chest 108: 937–941

    Google Scholar 

  39. Civen R, Jousimies-Somer H, Marina M et al (1995) A retrospective review of cases of anaerobic empyema and update of bacteriology. Clin Infect Dis 20: S224–S229

    Google Scholar 

  40. Hirshberg B, Sklair-Levi M, Nir-Paz R, et al (1999) Factors predicting mortality of patients with lung abscess. Chest 115:746–750

    Google Scholar 

  41. May ML, Robson J (2007) Microbiological diagnostic procedures in respiratory infections: suppurative lung disease. Paediatr Respir Rev 8:185–193

    Article  PubMed  CAS  Google Scholar 

  42. Leonardi S, Miraglia Del Giudice M, Spicuzza L et al (2010) Lung abscess in a child with Mycoplasma pneumoniae infection. Eur J Pediatr 169:1413–1415

    Google Scholar 

  43. Chiou CC, Liu YC, Lin HH, Hsieh KS (1997) Mycoplasma pneumoniae infection complicated by lung abscess, pleural effusion, thrombocytopenia and disseminated intravascular coagulation. Pediatr Infect Dis J 16:327–329

    Article  PubMed  CAS  Google Scholar 

  44. Defilippi A, Silvestri M, Tacchella A et al (2008) Epidemiology and clinical features of Mycoplasma pneumoniae infection in children. Respir Med 102:1762–1768

    Google Scholar 

  45. De Vos M, van der Streaten M, Druyts E (1976) Mycoplasma pneumoniae as a cause of pneumonia, lung abscess and pleural effusion: a case report. Infection 4:S58–S59

    Article  Google Scholar 

  46. Hammerschlag M (2001) Mycoplasma pneumoniae infections. Curr Opin Infect Dis 14:181–186

    Article  PubMed  CAS  Google Scholar 

  47. Lewis JE, Sheptin C (1972) Mycoplasma pneumoniae associated with abscess of the lung. Calif Med 117:69–72

    PubMed  CAS  Google Scholar 

  48. Micheau P, Llanas C, Rancè F et al (2002) Abces du poumon à Mycoplasma pneumoniae chez un adolescent. Arch Pediatr 9:606–609

    Google Scholar 

  49. Siegler DIM (1973) Lung abscess associated with Mycoplasma pneumoniae infection. Br J Dis Chest 67:123–127

    Article  PubMed  CAS  Google Scholar 

  50. Siret D, Picherot G (2000) Pneumopathie à Mycoplasma pneumoniae chez un enfant de quatre ans avec abcedation bulleuse transitoire du lobe inferieur droit. Arch Pediatr 7:391–395

    Article  PubMed  CAS  Google Scholar 

  51. Thapa R, Ghosh A, Mallick D, Biswas B. (2009). Lung abscess secondary to non-typhoidal salmonellosis in an immunocompetent girl. Singapore Med J 50:1033–1035

    PubMed  Google Scholar 

  52. Casado JL, Navas E, Frutos B et al (1997) Salmonella lung involvement in patients with HIV infection. Chest 112:1197–1201

    Google Scholar 

  53. Adhisivam B, Mahadevan S, Udaykumar C (2006) Lung abscess caused by Salmonella. Indian J Pediatr 73:450–451

    Article  PubMed  CAS  Google Scholar 

  54. Chan PC, Huang LM, Wu PS et al (2005) Clinical management and outcome of childhood lung abscess: a 16 year experience. J Microbiol Immunol Infect 38:183–188

    Google Scholar 

  55. Miller MA, Ben-Ami T, Daum RS. (1999) Bacterial pneumonia in neonates and older children. In: Taussig LM, Landau LI (eds) Pediatric respiratory medicine. Mosby, St Louis, pp 597–614

    Google Scholar 

  56. Zuhdi MK, Spear RM, Worthen HM, Peterson BM (1996) Percutaneous catheter drainage of tension pneumatocele, secondarily infected pneumatocele, and lung abscess in children. Crit Care Med 24:330–333

    Article  PubMed  CAS  Google Scholar 

  57. Tan TQ, Seilheimer DK, Kaplan SL (1995) Pediatric lung abscess: clinical management and outcome. Pediatr Infect Dis J 14:51–55

    Article  PubMed  CAS  Google Scholar 

  58. Evans DA, Fiedler MA (1996). Lung abscess in a patient with cystic fibrosis. Case report and review of the literature. Pediatr Pneumol 21:337–340

    CAS  Google Scholar 

  59. Kerem E, Bar Ziv Y, Rudenski B, Kats S, Kleid D, Branski D (1994) Bacterial necrotizing pneumococcal pneumonia in children. Am J Respir Crit Care Med 149:242–244

    Article  PubMed  CAS  Google Scholar 

  60. Mc Carthy V P, Patamasucon P, Gaines T, Lucas MA (1999) Necrotizing pneumococcal pneumonia in Childhood. Pediatr Pulmonol 28:217–221

    Article  CAS  Google Scholar 

  61. Lin FC, Chou CW, Chang SC (2004) Differentiating pyopneumothorax and peripheral lung anscess: chest ultrasonography. Am J Med Sci 327:330–335

    Article  PubMed  Google Scholar 

  62. Tseng Y, Wu MH, Lin MY, Lai WW, Liu CC (2001) Surgery for lung abscess in immunocompetent and immunocompromised children. J Pediatr Surg 36:470–473

    Article  PubMed  CAS  Google Scholar 

  63. Sharp SE, Robinson A, Saubolle M et al (2004). Lower respiratory tract infections. ASM Press, Washington DC, p 3–12

    Google Scholar 

  64. Hoffer FA, Bloom DA, Colin AA, Fishman SJ (1999) Lung abscess versus necrotising pneumonia: implication for interventional therapy. Pediatr Radiol 29:87–91

    Article  PubMed  CAS  Google Scholar 

  65. Hogan MJ, Coley BD (2008) Interventional Radiology Treatment Of Empyema And Lung Abscesses. Paediatr Resp Rev 9:77–84

    Article  Google Scholar 

  66. Nagasawa KK, Johnson SM (2010) Thoracoscopic treatment of pediatric lung abscess. J Pediatr Surg 45:574–578

    Article  PubMed  Google Scholar 

  67. Chidi CC, Mendelson HJ. (1974) Lung abscess. A study of the results of treatment based on 90 consecutive cases. J Thorac Cardiovasc Surg 68:168–172

    PubMed  CAS  Google Scholar 

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  1. Pediatric Surgery, University of Bologna, Bologna, Italy

    Mario Lima

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  1. Giovanni Ruggeri
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    Mario Lima

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Ruggeri, G., Maffi, M., Gargano, T., Lima, M. (2013). Lung Abscess. In: Lima, M. (eds) Pediatric Thoracic Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-5202-4_29

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  • DOI: https://doi.org/10.1007/978-88-470-5202-4_29

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5201-7

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