Aspiration, Abscess, Bronchiectasis, and Obstruction

  • David H. Dail


Considering the diseases covered in this chapter, one might wonder if a better title would be bronchial and transbronchial diseases. This latter term is much broader, and includes small and large airway disease (Chapters 23 and 24), mucoviscidosis, as discussed in the pediatric population (Chapter 4) and mentioned here in adults, tracheobronchomegaly (Chapter 4), polychondritis-tracheomalacia, infiltrative diseases such as amyloid and tracheal ossification (or tracheobronchopathia osteoplastica) (Chapter 20), and allergic reactions of mucoid impaction and bronchocentric granulomatosis (Chapter 13). Although bronchial obstruction may be caused by foreign bodies, it is more often caused by tumor masses (see Chapters 28 and 29); endobronchial tumor is especially likely, but those infiltrating the wall or those causing external compression also cause obstruction. Other causes of enlarged nodes may produce partial or complete bronchial obstruction. Bronchiolitis obliterans (or obliterative bronchiolitis) is discussed as the bronchiolar form of obstruction, and has inflammatory and postinflammatory causes. Sound knowledge of anatomy (as defined in Chapter 2) will be rewarded in the understanding of aspiration and abscess formation. Specific infections that cause or complicate some of these processes are discussed in the infection chapters. Anaerobic bacteria will be discussed here in their role in necrotizing pneumonia, abscess formation, and empyema.


Abscess Formation Bronchiolitis Obliterans Bronchial Wall Lung Abscess Terminal Bronchiole 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  • David H. Dail

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