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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Clinical ... Blood cultures • CXR ... Cryptococcus - Coccidioides ... westermani • Other: TB ... #Abscess #pulmonary
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
reach the terminal alveoli ... taken up by the alveolar ... abscess Primary ... characteristic features Clinical ... and Culture • CXR
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
reach the terminal alveoli ... taken up by the alveolar ... abscess Primary ... characteristic features Clinical ... and Culture • CXR
On the left another patient with alveolar edema at admission, which resolved after treatment.
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another patient with alveolar ... resolved after treatment ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
After treatment ... redistribution of the pulmonary ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Cavitation - Pneumonia
In virulent pyogenic infections an abscess may form within the consolidated lung as a
infections an abscess ... infection like TB ... one month after treatment ... #Clinical #Radiology ... #CXR #CTChest #
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... Found primarily along ... fungal stain of clinical ... Sinusitis • Brain abscess ... • Serology for Coccidioides
Cryptococcal meningitis on T2 MRI
30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
DDX Tb meningitis ... of prior silent pulmonary ... Standard treatment ... T2 #MRI #Brain #clinical ... #radiology