Lung abscess
A previously healthy 22 year old man with a 4 week history. He describes the cough, some mild shortness of breath on exertion, purulent sputum, fevers, night sweats and weight loss.
CLINICAL FEATURES fever cough SOB sputum nonresolving pneumonia RISK FACTORS dental caries foreign body aspiration (tooth, peanut) severe necrotising pneumonia altered LOC dysphagia IV drug use (septic emboli) septic thrombophlebits (pelvic or internal jugular) tumour Tb vasculitis MANAGEMENT identify organism…