Abstract:
:A lung abscess is an infectious pulmonary disease characterized by pus-filled cavity formation and often an air-fluid level. In this article, we described an indolent community-acquired lung abscess suspected as a tumor previously. A 56-year-old male presented with cough and expectoration for 2 months and hemoptysis for 2 weeks. His physical examinations, whole blood count and C-reactive protein level were normal. The chest computed tomography (CT) scan showed a 40×38×39 mm high-density mass in the right upper pulmonary lobe, with irregular borders. The pathology of a CT-guided percutaneous needle aspiration biopsy showed numerous inflammatory cells and bacteria infiltration without tumor lesions. Bacteriological detection of lung tissue revealed the cause was odontogenic flora. A next-generation sequencing demonstrated the etiologic correlation between lung abscess and periodontitis. After a 2-month pathogen-directed oral antibiotics therapy combined with chlorhexidine gargle oral care, this patient showed a remarkable improvement. Periodontitis can be a cause of a lung abscess, which would be taken into account in the treatment regimes preventing infectious recurrence.
journal_name
Infect Drug Resistjournal_title
Infection and drug resistanceauthors
Guo W,Gao B,Li L,Gai W,Yang J,Zhang Y,Wang Ldoi
10.2147/IDR.S218921subject
Has Abstractpub_date
2019-08-08 00:00:00pages
2467-2470issn
1178-6973pii
218921journal_volume
12pub_type
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journal_title:Infection and drug resistance
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doi:10.2147/IDR.S233808
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pub_type: 杂志文章,评审
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更新日期:2020-06-16 00:00:00
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doi:10.2147/IDR.S86341
更新日期:2015-08-07 00:00:00
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doi:10.2147/IDR.S185511
更新日期:2018-10-30 00:00:00
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journal_title:Infection and drug resistance
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更新日期:2020-05-14 00:00:00
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journal_title:Infection and drug resistance
pub_type: 杂志文章
doi:10.2147/IDR.S272217
更新日期:2020-09-22 00:00:00
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doi:10.2147/IDR.S193638
更新日期:2019-03-04 00:00:00
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更新日期:2020-04-01 00:00:00
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更新日期:2019-12-06 00:00:00
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doi:10.2147/IDR.S252332
更新日期:2020-06-04 00:00:00
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journal_title:Infection and drug resistance
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doi:10.2147/IDR.S175679
更新日期:2018-10-26 00:00:00
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更新日期:2018-04-26 00:00:00
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更新日期:2020-09-14 00:00:00
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更新日期:2020-11-04 00:00:00
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更新日期:2019-06-20 00:00:00
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doi:10.2147/IDR.S272605
更新日期:2020-10-05 00:00:00