Lung abscesses: Review of 60 cases
Abcessos pulmonares: Revisão de 60 casos
1 Interna Complementar de Medicina Interna / Resident, Internal Medicine
2 Assistente Hospitalar de Medicina Interna / Internal Medicine Consultant
3 Hospital Geral de Santo António. Serviço de Medicina 1 (Director de Serviço: Dr. Nelson Rocha) – Unidade D (responsável de unidade: Dra. Ernestina Reis) / Work carried out at Hospital Geral de Santo António. Serviço de Medicina 1 (Department Head: Dr. Nelson Rocha) – Unidade D (Head: Dr. Ernestina Reis)
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Serviço de Medicina 1 (Director de Serviço: Dr. Nelson Rocha) – Unidade D (responsável de unidade: Dra. Ernestina Reis) / Work carried out at Hospital Geral de Santo António. Serviço de Medicina 1 (Department Head: Dr. Nelson Rocha) – Unidade D (Head: Dr. Ernestina Reis)" "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondence to/Correspondência: Hospital Geral de Santo António – Serviço de Medicina 1, Unidade D, Largo do Prof. Abel Salazar, 4099-001, Porto, Portugal." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Abcessos pulmonares: Revisão de 60 casos" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-11-16" "fechaAceptado" => "2008-10-13" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec159969" "palabras" => array:3 [ 0 => "Lung abscess" 1 => "necrotising pneumonia" 2 => "lung infections" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec159970" "palabras" => array:3 [ 0 => "Abcesso pulmonar" 1 => "pneumonia necrotizante" 2 => "infecções pulmonares" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Lung abscesses (LA) carry with them severe clinical and social implications. The authors retrospectively analyse case files from a tertiary hospital.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Admissions from 2000 to 2005 codified as LA were identified. Forty-five patients were males and the mean age was 56.2 (±<span class="elsevierStyleHsp" style=""></span>15.1) years. The average duration of symptoms pre-hospitalisation was 23.0 (±<span class="elsevierStyleHsp" style=""></span>50.2) days, with acute respiratory infection the initial syndrome in 36 patients. Clinical data show LA could have been suspected in 40 patients. Diagnosis was established 8.7 (±<span class="elsevierStyleHsp" style=""></span>11.4) days after admission. A microbial pathogen was recovered in 26 cases. Primary LA was diagnosed in 27 patients. Dental disease and immunodeficiency were the main risk factors. Other co-morbidities were present in 34 patients. After LA diagnosis, intravenous (IV) antibiotic (AB) was prescribed for 16.5 (±<span class="elsevierStyleHsp" style=""></span>10.9) days with mean total AB time 39.2 (±<span class="elsevierStyleHsp" style=""></span>15.7) days. Ten options of AB were used and 23 patients had their initial IV AB changed to a second choice. Six patients needed surgery. Apyrexia was achieved after 6.4 (±<span class="elsevierStyleHsp" style=""></span>6.4) days of treatment. 21 patients had complications and 7 died. The mean length of hospital admission was 27.5 (±<span class="elsevierStyleHsp" style=""></span>16.3) days and 38 patients were called for a follow-up visit.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">These data are generally in accordance with the literature. The high male percentage agrees with the similarly high prevalence of alcoholism and lung neoplasms in males. Key facts to ameliorate in order to improve prognosis and length of hospital admission could be a swifter diagnosis and consensus on the AB treatment.</p>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Abcessos pulmonares (AP) acarretam graves implicações clínicas e sociais. Os autores analisam retrospectivamente a casuística dum hospital terciário.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Identificaram-se 60 internamentos por AP ocorridos entre 2000 e 2005. Quarenta e cinco doentes eram homens; a idade média foi 56,2 (±<span class="elsevierStyleHsp" style=""></span>15,1) anos. A duração média dos sintomas de pré-hospitalização foi de 23,0 (±<span class="elsevierStyleHsp" style=""></span>50,2) dias, mas a infecção respiratória aguda foi o modo de apresentação em 36 doentes. Em 40 casos, com base em dados clínicos, a suspeita de AP seria elevada. O diagnóstico estabeleceu-se em 8,7 (±<span class="elsevierStyleHsp" style=""></span>11,4) dias após a admissão. Identificou-se agente microbiano em 26 casos. Em 27 doentes classificou-se o AP como primário. Mau estado dentário e imunodeficiência foram os principais factores de risco. Exis- tiam co morbilidades em 34 casos. Após o diagnóstico, todos receberam antibioterapia (AB) intravenosa (IV) em média durante 16,5 (±<span class="elsevierStyleHsp" style=""></span>10,9) dias. A média do tempo global de AB foi de 39,2 (±<span class="elsevierStyleHsp" style=""></span>15,7) dias. Dez opções de AB foram usadas e a AB IV inicial alterada em 23 casos. Foi necessária cirurgia em 6 doentes. Conseguiu--se apirexia em média após 6,4 (±<span class="elsevierStyleHsp" style=""></span>6,4) dias. Ocorreram complicações em 21 doentes; 7 faleceram. A duração média do internamento foi de 27,5 (±<span class="elsevierStyleHsp" style=""></span>16,3) dias e 38 doentes foram convocados para consulta pós-alta.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estes dados são, em geral, concordantes com a literatura. A elevada percentagem de doentes do sexo masculino coincide com maior prevalência do alcoolismo e do carcinoma pulmonar nos homens. Aspectos pertinentes no sentido de melhorar o prognóstico e tempo de internamento poderão ser a brevidade no diagnóstico e o consenso no tratamento antibiótico.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Nota: Trabalho apresentado como comunicação oral no 13.° Congresso Nacional de Medicina Interna – 6th European Federation of Internal Medicine Congress, Lisboa, Maio de 2007 / Note: This work was presented as an oral communication at the 13th National Congress of Internal Medicine – 6th European Federation of Internal Medicine Congress, Lisbon, May 2007.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography/Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:12 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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Myerowitz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Hum Pathol" "fecha" => "1981" "volumen" => "12" "numero" => "5" "paginaInicial" => "401" "paginaFinal" => "422" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6166529" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Factors predicting mortality of patients with lung abscess" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "B. Hirshberg" 1 => "M. Sklair-Levi" 2 => "R. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 1 | 5 |
| 2024 October | 30 | 26 | 56 |
| 2024 September | 28 | 32 | 60 |
| 2024 August | 35 | 39 | 74 |
| 2024 July | 31 | 32 | 63 |
| 2024 June | 31 | 18 | 49 |
| 2024 May | 22 | 34 | 56 |
| 2024 April | 22 | 20 | 42 |
| 2024 March | 22 | 28 | 50 |
| 2024 February | 25 | 24 | 49 |
| 2024 January | 22 | 33 | 55 |
| 2023 December | 32 | 27 | 59 |
| 2023 November | 16 | 32 | 48 |
| 2023 October | 15 | 41 | 56 |
| 2023 September | 20 | 35 | 55 |
| 2023 August | 17 | 32 | 49 |
| 2023 July | 15 | 28 | 43 |
| 2023 June | 12 | 12 | 24 |
| 2023 May | 20 | 22 | 42 |
| 2023 April | 9 | 10 | 19 |
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