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Spontaneously Regressing Cavitated Pulmonary Lesion

Gelman et al., 1972Other/Unknown

Gelman, M. I., & Freundlich, I. M. (1972). spontaneously regressing cavitated pulmonary lesion. Chest, 61(7), 680–681. https://doi.org/10.1378/chest.61.7.680

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Case Details

Disease Location

Right upper lobe bronchus

Personal Characteristics

55-year-old white male

Clinical Characteristics

Admitted with fever, right-sided chest pain, dyspnea, cough productive of yellowish-brown sputum 3 mth history of fatigue, 15 lb weight loss, & anorexia sputum culture revealed staphylococcus aureus, coagulase (+) bronchoscopy revealed only secretions originating from right upper lobe bronchus chest roentgenogram demonstrated large lesion with nodular interior (diagnosis of pulmonary abscess)

Remission Characteristics

Decrease in size of lesion attributed to antibiotic therapy

Treatment & Mechanisms

Proposed Remission Mechanisms

Antibiotic therapy most likely accounts for rapid regression of lesion

Clinical Treatment

Methicillin therapy initiated with gradual fall in fever antibiotic therapy followed by gradual decrease in size of lesion