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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Clinical ... 38 degrees • Chills ... Blood cultures • CXR ... early disease) • CXR ... Cryptococcus - Coccidioides
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... the apex and the lung ... In these cases comparison ... #CXR #CHF #Cephalization
Overview of antifungal agents benefits, weaknesses, and adverse effects in the treatment of Coccidioidomycosis.
Fluconazole - Low
effects in the treatment ... hallucinations, rashes/long-term ... tolerable • Limited clinical ... Coccidioidomycosis #coccidioides ... #antifungals #comparison
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
dermatophytes, Coccidioides ... cut-offs defined in clinical ... Clav (may be + as long ... setting of GVHD) ID ... Galactomannan #diagnosis #comparison
Antifungal agents benefits, weaknesses, and adverse effects in the treatment of Coccidioidomycosis
Fluconazole
 - Benefits: Low cost/tolerable
effects in the treatment ... hallucinations, rashes/long-term ... Weaknesses: Limited clinical ... phlebitis, fever, chills ... #coccidioides
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
position Obstructive lung ... diseased areas of the lung ... After treatment ... #Clinical #Radiology ... #CXR #CHF #Alveolar
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... fungal stain of clinical ... change in the lungs ... • Serology for Coccidioides ... nails, bronchi, lungs