American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
Open Access
Journal Browser
Go
American Journal of Medical Case Reports. 2021, 9(1), 1-3
DOI: 10.12691/ajmcr-9-1-1
Open AccessCase Report

A Lung Abscess on CT Scan: Think of Lung Cancer

Bailey Christie1 and Chukwuemeka A. Umeh2,

1Boston University School of Public Health, Boston Massachusetts, USA

2Department of Internal Medicine, Hemet Valley Medical Center, Hemet, California, USA

Pub. Date: October 14, 2020

Cite this paper:
Bailey Christie and Chukwuemeka A. Umeh. A Lung Abscess on CT Scan: Think of Lung Cancer. American Journal of Medical Case Reports. 2021; 9(1):1-3. doi: 10.12691/ajmcr-9-1-1

Abstract

Background: Lung cancer can be present with lung abscess in up to a third of lung abscess cases. However, lung cancer is often overlooked as an underlying condition while making a diagnosis of lung abscess. Case report: The authors present a case of a 69-year-old male that experienced a syncopal episode, accompanied by productive cough and shortness of breath. Lung abscess was diagnosed, and the patient was placed on antibiotics with no improvement in the cough after a week. Additional tests were performed, and latent squamous cell carcinoma was discovered. Conclusion: Since lung cancer can masquerade as lung abscess, physicians should have a high suspicion for lung cancer whenever there is a radiographic diagnosis of lung abscess, especially in patients with risk factors for lung cancer.

Keywords:
lung abscess lung cancer case report

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Hendriks LE, Hochstenbag MM, Lalji UC, Dingemans AM. A pulmonary abscess, beware of lung cancer!. Respiratory Medicine CME. 2011 Jan 1;4(4):157-9.
 
[2]  Athanassiadi K, Liverakou E, Magouliotis D, Katsandri A, Benakis S, Liadakis G. LUNG CANCER WITH HUGE INTRATUMORAL LUNG ABSCESS. Chest. 2019 Jun 1; 155(6): A357.
 
[3]  American Thoracic Society. Pretreatment evaluation of non-small-cell lung cancer. Am J Respir Crit Care Med.. 1997; 156: 320-32.
 
[4]  Guo W, Gao B, Li L, Gai W, Yang J, Zhang Y, Wang L. A community-acquired lung abscess attributable to odontogenic flora. Infection and Drug Resistance. 2019; 12: 2467.
 
[5]  Zhu H, Min X, Li S, Feng M, Zhang G, Yi X. Amebic lung abscess with coexisting lung adenocarcinoma: a unusual case of amebiasis. International Journal of Clinical and Experimental Pathology. 2014; 7(11): 8251.
 
[6]  Khurana A, Mohapatra PR, Dhingra N. Carcinoma lung masquerading as lung abscess. Clin Respir J. 2009; 3(2): 116-117.
 
[7]  Migiyama Y, Anai M, Kashiwabara K, Tomita Y, Saeki S, Nakamura K, Okamoto S, Ichiyasu H, Fujii K, Kohrogi H. Lung abscess following bronchoscopy due to multidrug-resistant Capnocytophaga sputigena adjacent to lung cancer with high PD-L1 expression. Journal of Infection and Chemotherapy. 2018 Oct 1; 24(10): 852-5.