Abscess

Definition: it is the accumulation of pus in tissue (usually forming cavities).

Causes: 

Most common cause is staphylococcus aureus.

Common sites of abscess:

Abscess in;

         i.            Skin

       ii.            Lung

      iii.            Brain

     iv.            Teeth

       v.            Liver

     vi.            Gall bladder (emphyema)

    vii.             Pleural cavity (emphyema)

  viii.             Bone (isteomyelitis)

Clinical features (C/F):

It depends on the site of involvement but common features are:

·         Fever

·         Anorexia

·         Weight loss

Management:

It depends again on the site of involvement and the cause of abscess.

a.       Tuberculous abscess cavity in lung is treated with Anti-Tuberculous Therapy (ATT).

b.      Amoebic liver abscess is treated with Chloroquine, Metranidazole.

c.       Broad spectrum antibiotics / Golden rule are to drain the abscess.