Abstract
A 45-year-old woman presented herself with coughing, nocturnal sweating, weight loss, and chest pain, left laterally. In the previous 5 months she had been treated twice with antibiotics due to a suspected pneumonia. With the help of a CT scan, 2 subpleural lung abscesses were diagnosed. The primary treatment was CT-guided drainage, as a result of which the largest abscess was emptied and a microbiological diagnosis could be established. Subsequently, the patient made a quick recovery with the help of specific antibiotics. It might be better to drain lung abscesses, especially subpleural ones, at an early stage rather than wait for the results of a trial treatment with antibiotics.
MeSH terms
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Amoxicillin / administration & dosage
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Amoxicillin / therapeutic use
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Anti-Bacterial Agents / administration & dosage
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Anti-Bacterial Agents / therapeutic use
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Clavulanic Acid / administration & dosage
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Clavulanic Acid / therapeutic use
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Drainage / methods*
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Drug Therapy, Combination / therapeutic use*
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Female
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Humans
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Lung Abscess / diagnostic imaging
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Lung Abscess / drug therapy*
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Lung Abscess / etiology
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Lung Abscess / microbiology
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Lung Abscess / surgery*
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Middle Aged
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Penicillins / administration & dosage
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Penicillins / therapeutic use
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Pneumonia / diagnosis
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Pneumonia / drug therapy
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Pneumonia / microbiology
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Radiography
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Streptococcal Infections / drug therapy
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Streptococcal Infections / surgery
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Treatment Outcome
Substances
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Anti-Bacterial Agents
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Penicillins
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Clavulanic Acid
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Amoxicillin