The Diagnosis and Treatment of Lung Abscess

Abstract

Most classifications of lung abscesses are un-satisfactory and confusing. When the term is mentioned only one or two varieties generally come to mind, but if the literal definition of an abscess of the lung is adhered to, a much wider field would have to be considered. However, from the surgeon's point of view the only type that has to be considered in detail is the single pyogenic abscess which gives a fairly constant clinical picture. The toxic and fœtid character of this abscess has led to it being given the name of the solitary putrid abscess of lung. The immediate concern of surgery with this form should not be taken as implying that surgery has no place in the treatment of other varieties of abscess. Individual cases and pleural complications may require drainage, but apart from the putrid abscess, surgery is not often required. When considering the aetiology of putrid lung abscesses the contemporary weight of evidence seems to favour an inhalation or bronchial embolic causation rather than a blood b...