Lung Abscess

  • Dragan Subotic


Pulmonary/lung abscess is encountered either as result of primary necrotising lower respiratory tract infections or secondary infection within metastasis, congenital or acquired lung lesions, tuberculous cavities or traumatic lung contusion. With the advent of antibiotics and good early medical supportive management, need for surgery is rare in immunocompetent individuals. However, due to increase of the bacterial resistance rate, of the number of immunocompromised patients, due to still high HIV incidence and need to achieve diagnosis of lung cancer, surgical resection may be required. Surgical resection should preserve as much parenchyma as possible as likely chance of subsequent infection is significant. Surgery in patients with poor pulmonary reserve and generalised parenchymal involvement is associated with significant morbidity and mortality. Patient selection and adequate preoperative preparations are vital to the outcome.


Pulmonary abscess Necrotising pneumonia Chronic lung abscess Fungal infection Lung cancer Inhaled foreign body Bronchiectasis Lobectomy Pneumonectomy Post-lobectomy and post-pneumonectomy empyema 


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© Springer-Verlag London Ltd., part of Springer Nature 2018

Authors and Affiliations

  • Dragan Subotic
    • 1
  1. 1.Clinic for Thoracic Surgery, Clinical Center of SerbiaUniversity of Belgrade School of MedicineBelgradeSerbia

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