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Abscessive pneumonia: causes and symptoms

Abscessed pneumonia is a disease in which an inflammatory process takes place in the lungs, accompanied by the formation of purulent foci.

Description of the disease

The disease is destructive. Depending on the pathogen of the disease and severity, the symptoms will vary. But usually abscessed pneumonia is characterized by an increase in body temperature, chills. Also during the illness there is a cough with phlegm. Allocations have a specific odor and pus. The person's appetite is lost, so that he loses weight. To make an accurate diagnosis, do an X-ray of the lungs. Treatment is appointed complex. The patient is prescribed antibiotics. And also the means that increase the work of the human immune system. In order to remove the foci of the onset of abscessed pneumonia, thoracocentesis and sanative bronchoscopy are prescribed. Also in medical activities includes extracorporeal gemmocorrection, with UFO blood and hemosorption.

Abscessed pneumonia means a period during inflammation of the lungs, when foci of purulent lesions appear. The same nature of the course of the disease has an abscess of the lung. The difference between these two diseases is that with an abscess the purulent formation has a large diameter, and when pneumonia occurs a lot of purulent foci of small size.

Causes of appearance

Why there is an abscessing pneumonia? The main reason for the occurrence is that malignant bacteria and microorganisms appear in the body. These include:

  1. Staphylococcus aureus.
  2. Friedlander's wand or klebsielle.
  3. Different types of enterobacteria.
  4. Also, the source of the disease can be pneumococcus and hemolytic streptococcus.
  5. Anaerobic bacteria, namely fusobacteria and peptostriptococci.

The listed microorganisms and bacteria destroy the lung tissue. They are the cause of the appearance of purulent formations.

How do harmful bacteria get into the lungs?

First of all, these bacteria can get into the lungs of the nasopharynx. This happens if there are purulent foci in the person's mouth. In the risk zone are those citizens who abuse the use of alcohol and drugs. Also people who have suffered a stroke, or those who have mental disorders of personality, can become infected with abscessed pneumonia.

Hematogenous lung injury or lymphogenesis occurs due to such diseases as:

  1. Furunculosis.
  2. Endocarditis.
  3. Osteomyelitis.
  4. Sepsis.

Also abscessed pneumonia can occur due to the presence of foreign bodies and lung tumors in the bronchi. In people who are sick with diabetes, blood disease and periodontitis, abscessed pneumonia is more often diagnosed. Treatment by taking certain groups of medications can cause this ailment. For example, the use of glucocorticoids and cytostatics.

When diagnosing abscessed pneumonia, it is important to know which bacteria or microorganisms have become the source of infection. The destruction of the lung tissue is due to the fact that the causative agent of the disease, for example, staphylococcus, begins to produce a large number of toxic substances. Because of this, a large number of cavities filled with air are formed. If they unite in one large hearth, then this disease will be called an abscess of the lung.

What symptoms indicate that abscess is present in the body?

The case history has the same symptoms as the usual one. Especially at the initial stage of the disease. The person begins to cough, the body temperature rises, painful sensations appear in the chest area. These pain sensations tend to increase, especially, the pain is felt by breathing.

X-rays indicate the presence of this disease in the lungs. Children can develop asthmoid and neurotoxic syndrome. If a person does not take any measures for treatment, his condition becomes worse and abscessed pneumonia arises (ICD-10 gave her the code J85.1 in case of an unspecified pathogen, and also codes J10-J16 if it is detected). This contributes to the fact that the patient has an intoxication of the body. There is a chill, the body temperature rises to 40 degrees. Also gets an appetite and there is anorexia. In addition, there is shortness of breath. Since at this period of the disease there is purulent formations in the lungs, a sputum with an unpleasant odor appears in the person, and its composition includes spotting. The patient is inactive, the skin is pale with a gray tinge, there is delirium. In the future, if the abscessed pneumonia is progressed, the micropreparation will show an abscess of the lung.


This ailment can cause a number of complications for the body. These include:

  1. Empyema.
  2. Pleurisy.
  3. Piopevneumotorax.
  4. Purulent pericarditis.
  5. Mediastinitis.
  6. Purulent arthritis.
  7. Sepsis.

How is pneumonia diagnosed?

First of all, a person's breathing becomes weaker, wet rales appear. A blood test indicates the presence of an inflammatory process in the body - there is an increase in the level of leukocytes, ESR and RSB.

In order to accurately diagnose a person is prescribed a lung X-ray. But you should know that with pneumonia the procedure does not always show purulent foci. Therefore, in order to exclude or confirm abscessed pneumonia, it is necessary to do CT of the chest.

Such a survey will display on the images of education with the presence of liquid and gas in them. This will be indicative of abscessed pneumonia. But education data can also be signs of diseases such as tuberculosis and lung cancer. Therefore, in order not to be mistaken in the diagnosis, the patient is assigned to pass the test for sputum. And it should be done three times. To confirm or refute the diagnosis. It is also necessary to conduct a study on antibiotic sensitivity. For this, baclos sputum or rinsing of bronchial tubes is taken. Sometimes bronchoscopy is prescribed in order to confirm the diagnosis.


In the treatment of abscessed pneumonia, the first antibiotic that comes to hand is not used. And in general, first of all one must remember one thing: in no case should one engage in self-medication. After all, abscessed pneumonia is considered a disease that is severe. It also allows for the appearance of various complications. Therefore, in order to cure this disease, you will need both therapeutic and, at times, surgical measures. First, a course of antibiotics is prescribed, it is selected individually for each patient. An important point is that the selection of drugs is prescribed based on the analysis, namely how the body reacts to antibiotics. Also, the duration of the course is determined on an individual basis.

You should carefully follow the doctor's recommendations if you have been diagnosed with abscessed pneumonia. Complications of this disease can be very serious.

Standard drugs for the treatment of abscessed pneumonia are drugs such as Benzylpenicillin + Metronidazole, lincosamides (Clindamycin, Lincomycin), aminopenicillins (Amoxicillin / Clavulanate, Ampicillin / Sulbactam) and Etc. In order to eliminate the focus of suppuration, expectorants are prescribed, as well as inhalations.

Treatment Scheme

People who are diagnosed with right-sided abscessed pneumonia require thorough care. First, it is necessary to provide them with proper nutrition, namely food with high protein content, useful microelements and vitamins. Secondly, if the patient's condition is greatly weakened, then it is necessary to make him an infusion of plasma. Also, in combination with the above measures, the respiratory system is supported.

Bronchoscopy is done to sanitize purulent zones. Probably, it will be necessary to make and a puncture or drainage of an abscess, a lavage of a cavity with use antiseptics. Also, indications for the administration of antibiotics and enzymes are possible. There are statistics that 15-25 percent of patients do not cope with this disease. This is a fairly high figure. But there is also a high likelihood of a person recovering.

Risk group

It is well-known that it is always better not to bring your organism to a neglected state, it is desirable to take preventive measures than to be treated for a serious illness. Therefore it is necessary to maintain your body in a healthy state and receive timely medical help in the event of any disease. There is a certain risk group of people who are susceptible to this disease:

  1. Children. They are at risk. Since their immunity is in its infancy. With a high degree of probability, abscessing pneumonia can occur in children who have been taking antibiotics for a long time or have suffered some diseases.
  2. People of advanced age.
  3. Alcoholics.
  4. People who suffer the flu and ARVI, or have recently been ill with these diseases.
  5. Drug addicts.
  6. People who have chronic respiratory diseases and are carriers of infectious diseases.
  7. Smokers.
  8. Category of people with immunodeficiency.
  9. Those who have had chest injuries are at risk.
  10. Anomaly of the lungs is a possible cause of abscessing pneumonia.
  11. People who have undergone surgical intervention.


Preventive measures for children are to carry out vaccination of pneumococcal infections. You should be careful of the flu. It is also possible to vaccinate against this ailment. These vaccines are administered to both adults and children. Do not start any diseases, as they can move to other more severe cases. Hardening, a healthy lifestyle, physical education, walking - all this contributes to the strengthening of immunity and as a consequence, the absence of any diseases. At the first symptoms of infection of the body, you should immediately consult a doctor. Because timely medical assistance affects the prompt recovery of the patient.


Now you know what constitutes abscessed pneumonia. The causes of this disease we considered. We also described how the disease manifests itself.

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