Pub Date : 1998-10-01DOI: 10.1097/00007611-199810000-00012
C. Curry, E. Fishman, J. Buckley
Although frequently referred to as pulmonary abscess or necrotizing pneumonia, pulmonary gangrene is a distinct entity, requiring prompt medical and often surgical management. Radiographically, it begins as a lobar consolidation, usually in the upper lobes, develops lucencies, and coalesces to form a cavity. A "mass within a mass" or air crescent sign may be present. A vasculitis ensues, devitalizing parenchyma that must be drained surgically or expectorated through a patent bronchus. Serious complications of pulmonary gangrene that often lead to death are detected on computed tomography (CT) before these changes are apparent on chest radiographs. Specifically, a narrowed or obliterated bronchus impedes drainage of necrotic parenchyma and thrombosis of large vessels prevents the delivery of antimicrobial therapy. We review the literature and report this case to show the importance of CT in the early detection and management of pulmonary gangrene.
{"title":"[Pulmonary gangrene].","authors":"C. Curry, E. Fishman, J. Buckley","doi":"10.1097/00007611-199810000-00012","DOIUrl":"https://doi.org/10.1097/00007611-199810000-00012","url":null,"abstract":"Although frequently referred to as pulmonary abscess or necrotizing pneumonia, pulmonary gangrene is a distinct entity, requiring prompt medical and often surgical management. Radiographically, it begins as a lobar consolidation, usually in the upper lobes, develops lucencies, and coalesces to form a cavity. A \"mass within a mass\" or air crescent sign may be present. A vasculitis ensues, devitalizing parenchyma that must be drained surgically or expectorated through a patent bronchus. Serious complications of pulmonary gangrene that often lead to death are detected on computed tomography (CT) before these changes are apparent on chest radiographs. Specifically, a narrowed or obliterated bronchus impedes drainage of necrotic parenchyma and thrombosis of large vessels prevents the delivery of antimicrobial therapy. We review the literature and report this case to show the importance of CT in the early detection and management of pulmonary gangrene.","PeriodicalId":86098,"journal":{"name":"L' Hopital","volume":"43 1","pages":"197-200"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83685293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Psychology and psychiatry in industrial medicine].","authors":"CAFFIAUX","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":86098,"journal":{"name":"L' Hopital","volume":"41 621","pages":"136-43; concl"},"PeriodicalIF":0.0,"publicationDate":"1953-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22671545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Estimation of liver function in current practice].","authors":"ARSONNEAU","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":86098,"journal":{"name":"L' Hopital","volume":"41 621","pages":"127-33"},"PeriodicalIF":0.0,"publicationDate":"1953-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22671543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Sudden death of the suckling infant].","authors":"GERARD-LEFEBVRE","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":86098,"journal":{"name":"L' Hopital","volume":"41 620","pages":"83-5"},"PeriodicalIF":0.0,"publicationDate":"1953-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22671535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Retrolunare dislocation of the carpus, a wrist trauma too often misdiagnosed by clinicians and radiologists].","authors":"R FONTAINE, P WARTER, J N MULLER, L HOLDERBACH","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":86098,"journal":{"name":"L' Hopital","volume":"41 620","pages":"81-2"},"PeriodicalIF":0.0,"publicationDate":"1953-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22671534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Female genital infections and the practitioner; what the physician ought to know about vulvovaginitis, metritis, adnexitis and pelvic cellulitis].","authors":"J L GAILLARD","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":86098,"journal":{"name":"L' Hopital","volume":"41 620","pages":"89-93"},"PeriodicalIF":0.0,"publicationDate":"1953-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22671537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Psychology and psychiatry in industrial medecine].","authors":"CAFFIAUX","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":86098,"journal":{"name":"L' Hopital","volume":"41 620","pages":"97-103; contd"},"PeriodicalIF":0.0,"publicationDate":"1953-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22671539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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