Abstract
Three premature infants (mean gestational age 27 weeks) ranging in age from 3 to 11 weeks, were treated for lung abscesses, with a combination of antibiotics and percutaneous needle aspiration under either ultrasound or fluoroscopic guidance. Antibiotics, to which microorganisms cultured from aspirated pus were sensitive, were continued for a further period of two weeks, with no relapse in any of the patients. The lung abscesses resolved in all cases without the need for catheter drainage or surgery.
In conclusion, needle aspiration under either ultrasound or fluoroscopic guidance is a simple and effective diagnostic and therapeutic method of managing neonatal lung abscesses. Its early use allows selection of the most appropriate antibiotics and may hasten recovery, prevent further complications and obviate the need for surgery. The use of a drainage catheter does not appear to be necessary for resolution of the abscesses. The procedure appears reasonably safe, since complications arising from the procedure were benign.
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Cueatas RA, Kienle GD, Armstrong II JD (1989) Percutaneous drainage of lung abscesses in infants. Paediatr Infect Dis J, 8: 390
Lorenzo RL, Bradford BF, Black J, Smith CD (1985) Lung abscesses in children: diagnostic and therapeutic needle aspiration. Radiology 157: 79
Siegel JD, McCracken GH (1979) Neonatal lung abscess. Am J Dis Child 133: 947
Moore TC, Battersby JS, Stanley J (1960) Pulmonary abscess in infancy and childhood. Ann Surg 151: 496
Mark PH, Turner JAP (1968) Lung abscess in childhood. Thorax 23: 216
Mayer T, Matlak ME, Condon V et al. (1982) Computed tomographic findings of neonatal lung abscess. Am J Dis Child 136: 39
Johnson JF, Shiels WE, White CB, Williams BD (1986) Concealed pulmonary abscess: Diagnosis by computed tomography. Paed 78: 283
Nonoyama A, Tanaka K, Kotani S, Kagawa T (1984) Surgical treatment of pulmonary abscess in children under ten years of age. Chest 85: 358
Yellin A (1984) Neonatal lung abscess. Ann of Thor Surg 38: 299
Weber TR, Vane DW, Krishna G, Rao CC, Grosfeld JL (1983) Neonatal lung abscess: Resection using one-lung anesthesia. Ann Thor Surg 36: 464
Ball WS, Bisset GS, Towbin RB (1989) Percutaneous drainage of chest abscesses in children. Radiology 171: 431
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Lee, S.K., Morris, R.F. & Cramer, B. Percutaneous needle aspiration of neonatal lung abscesses. Pediatr Radiol 21, 254–257 (1991). https://doi.org/10.1007/BF02018616
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DOI: https://doi.org/10.1007/BF02018616