Lung abscess historical perspective

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

Lung abscess has been a disease entity since the days of Hippocrates. Postural physiotherapy had been the mainstay of treatment until Harold Neuhof described his concept of new one-stage open drainage for the acute abscess in 1930's. With the invention of antibiotics in late 1940's and their promising results led the change in management of lung abscess.

Historical perspective

  • In 1904, Guillemot first put weight to the theory that aspirated oropharyngeal organisms are responsible for cause of lung abscess[1]
  • In 1920-1930, Harold Neuhof was the first thoracic surgeon to develop a valid and reliable therapeutic concept of drainage operation for acute pulmonary abscess.[2]
  • In 1938, the first percutaneous drain of lung abscess was performed.[3]
  • In 1942, Brock added evidence in stating that aspirated contents gravitated to the dependent part of the lungs.
  • In 1946, owing to the advent of antibiotics, and treatment of acute putrid lung abscess with penicillin showed good results and henceforth patients received antibiotics rather than surgical procedures.[2]

Reference

  1. Lima, Mario (01/24/2011). Pediatric thoracic surgery Softcover reprint of hardcover 1st ed. 2009. Harvard Medical School: Springer London. p. 145. ISBN 978-8847052017. Check date values in: |date= (help)
  2. 2.0 2.1 Neuhof H, Hurwitt E (1943). "ACUTE PUTRID ABSCESS OF THE LUNG : VII. RELATIONSHIP OF THE TECHNIC OF THE ONE-STAGE OPERATION TO RESULTS". Ann. Surg. 118 (4): 656–64. PMC 1617784. PMID 17858299.
  3. Wali SO (2012). "An update on the drainage of pyogenic lung abscesses". Ann Thorac Med. 7 (1): 3–7. doi:10.4103/1817-1737.91552. PMC 3277038. PMID 22347342.