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Bakterielle lungeabscesser

Forfatter(e)

Søren Sperling1, Klaus Leth Mortensen2, Pia Gjørup2, Andreas Fløe1 & Ole Hilberg3

1) Lungesygdomme, Aarhus Universitetshospital, 2) Medicinsk Afdeling, Hospitalsenheden Vest, Herning/Holstebro, 3) Medicinsk Afdeling, Sygehus Lillebælt, Vejle

Ugeskr Læger 2021;183:V12200948

Reference: 
UgeskrLæger 2021;183:V12200948
Bacterial lung abscesses

Søren Sperling, Klaus Leth Mortensen, Pia Gjørup, Andreas Fløe & Ole Hilberg

Ugeskr Læger 2021;183:V12200948

A lung abscess is a necrotising infection leading to loss of healthy lung tissue. It develops over several weeks, and the typical presentation includes cough, fever, and general deterioration. The clinical work-up includes contrast-enhanced CT-scans, and frequently flexible bronchoscopy with broncho-alveolar lavage as described in this review. The infection commonly represents aspiration of oral bacterial flora, including anaerobic microbes. Penicillin resistance is common. A lung abscess generally requires long-term, tailored antibiotic treatment. The patient should consult a dentist to identify possible dental foci.

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