Pulmonary gangrene
| Classification according to ICD-10 | |
|---|---|
| J85.0 | Gangrene and necrosis of the lungs |
| ICD-10 online (WHO version 2019) | |
In pulmonary gangrene , Latin gangraena pulmonis (also called lung fire ), cavities form within the lungs that are caused by necrosis of the lung tissue. Lung gangrene is usually the result of an infection with anaerobic putrefactive agents (e.g. clostridia ) and can develop from a lung abscess . The lung tissue breaks down and a thick, slimy, gray-greenish to black, moist gangrene forms , which is surrounded by inflammatory lung tissue. Repeated aspirations or aspiration pneumonia and a weakened immune system are predisposing for the development of pulmonary grangrain .
clinic
Patients suffering from pulmonary gangrene have a typical putrid, purulent or gummy bad breath (foetor ex ore) and sputum . In addition, there are relatively unspecific symptoms such as general feeling of illness, fever and shortness of breath .
Diagnosis and therapy
The diagnosis of pulmonary gangrene is confirmed by microbiological detection of the bacteria in the patient's sputum. Also in the radiograph of the chest (thorax) is a typical image of pulmonary gangrene with segmental compacted can nodules show. When a breakthrough into a bronchus occurs , fluid levels become visible. Therapy is carried out with the help of antibiotics that cover anaerobic and aerobic bacteria.
swell
- W. Böcker among others: Pathology. 3. Edition. Urban and Fischer-Verlag, 2004, ISBN 3-437-42381-9 , p. 615.
- E. Grundmann (Ed.): Introduction to general pathology. 9th edition. Urban and Fischer-Verlag, Munich 2000, ISBN 3-437-21191-9 , p. 131.
Individual evidence
- ↑ Joachim Frey : Diseases of the respiratory organs. In: Ludwig Heilmeyer (ed.): Textbook of internal medicine. Springer-Verlag, Berlin / Göttingen / Heidelberg 1955; 2nd edition, ibid. 1961, pp. 599-746, here: p. 690 ( pulmonary gangrene ).
