A 57-year-old man with severe periodontal disease and alcohol use disorder has 2 weeks of fever, weight loss, pleuritic chest pain, and foul smelling sputum. Chest imaging shows a cavitary lesion with an air fluid level in the dependent portion of the right lung. Which of the following is the most likely underlying cause?
- A)Pulmonary infarction after deep vein thrombosis
- B)Congenital pulmonary airway malformation
- C)Hematogenous spread of Candida species
- D)Aspiration of oropharyngeal contents causing polymicrobial infectionGABARITO
- E)Primary tuberculosis infection
Explicação
Lung abscess most often follows aspiration of oral secretions in patients with impaired consciousness, poor dentition, or alcohol use disorder. The infection is often polymicrobial with anaerobes and produces foul smelling sputum and cavitation with an air flu... Ver explicação completa e trilha adaptativa →