A case of a secondary lung abscess associated with congenital pulmonary airway malformation for which percutaneous abscess drainage was effective
Chie Yamamotoa Yoshishige Kimurab Yoshito Takeuchic Satoru Okadad Hiroaki Tsunezukad Masayoshi Inoued
aDepartment of Respiratory Medicine, Fukuchiyama City Hospital
bDepartment of Thoracic Surgery, Fukuchiyama City Hospital
cDepartment of Radiology, Fukuchiyama City Hospital
dDivision of Thoracic Surgery, Department of Surgery, Kyoto Prefectural University of Medicine
A 19-year-old woman who presented with fever, cough, and sputum was diagnosed with a lung abscess. Since she had had a similar episode when she was 7 years old, it was considered to be a secondary lung abscess associated with congenital cystic lung disease. She was treated with multiple antibiotics, but her condition worsened to superior vena cava syndrome due to an increase in size of the abscess. We performed percutaneous drainage, and her condition improved promptly. There were no adverse events other than pain. A radical surgical resection was performed after drainage, and consequently the patient was diagnosed with congenital pulmonary airway malformation (CPAM). Percutaneous drainage for lung abscess is a minimally invasive and highly effective treatment method.
Lung abscess Percutaneous drainage Congenital pulmonary airway malformation (CPAM)
Received 30 Jul 2020 / Accepted 8 Dec 2020
AJRS, 10(2): 163-167, 2021