Mr. Deepak, 44-yr alcoholic febrile man comes with productive cough with copious amounts of foul-smelling purulent sputum. further changing on the position paroxysms of coughing are seen. Which of the following is the most likely cause of this patient’s signs and symptoms? (LQ)
a. A pulmonary abscess is a localized suppurative process within the pulmonary parenchyma that is characterized by tissue necrosis and marked acute inflammation.
b. Aspiration more often gives a right-sided single abscess, because the airways on the right side are more vertical.
c. Changes in position evoke paroxysms of coughing.
d. Complications of a lung abscess include pleural involvement (empyema) and bacteremia, which could result in brain abscesses or meningitis.