علاج داء الشعيات الرئوي الشديد الغازي

References

DOI: 10.1016/j.jiph.2023.02.004

• Severe disease is classified as invasive, including significant purulent disease (dense necrosis abscess, pleural effusions, empyema), fistula/sinus tracts, bony involvement and infections complicated by massive haemoptysis.
• In severe diseases, patients require high-dose intravenous antibiotics, including benzylpenicillin or ceftriaxone.
• Indications for surgical intervention include severe and invasive disease, infections in critical spaces, and massive refractory haemoptysis.
• Surgery must be performed with antimicrobial therapy, as surgical management alone is rarely successful.
• Clinical improvement in radiology is usually noted within four weeks of starting antimicrobial therapy.