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- Title
Rehabilitation in the treatment of lung abscess with pneumonia - case report.
- Authors
Renata, Borys; Magdalena, Kołodziej; Agnieszka, Guzik
- Abstract
Introduction: the aim of the study is to present the effects of comprehensive rehabilitation for the patient with diagnosed lung abscess and pneumonia. The patient is a 46-year-old man admitted to the Clinical Department of Tuberculosis and Lung Diseases at the University Clinical Hospital in Rzeszów with a lung abscess and pneumonia. The treatment included antibiotics, oxygen therapy, bronchodilators and pulmonary rehabilitation. Material and methods: in October 2023, a 46-year-old man, not yet under chronic treatment, a cigarette smoker and alcohol abuser. was admitted to the Clinical Department of Tuberculosis and Lung Diseases with symptoms of fever, runny nose, sore throat, cough with expectoration of a large volume of pus, general weakness and chest pain. The patient had several moderate respiratory infections during the last 6 months preceding hospitalization. Lung X-ray revealed signs of right lung abscess and pneumonia. Chest CT showed a lesion resembling a forming abscess of the right lung with thickening of the right lung parenchyma. Bronchoscopically diffuse inflammatory changes of the bronchial mucosa. During hospitalization, antibiotic treatment and oxygen therapy were used, electrolyte deficits were supplemented and the effects of dehydration were eliminated. Additionally, throughout the entire hospitalization period, a pulmonary rehabilitation program was conducted 6 days a week, with particular emphasis on learning effective coughing, bronchial tree toilet techniques and respiratory kinesiotherapy. Results: the scope of pulmonary rehabilitation included the assessment of respiratory efficiency assessed with the Voldyne 5000 motivational device. Before the rehabilitation program, the volumetric measurement value in the patient was 1250 ml with the individual norm of 2700 ml. After the rehabilitation program, lung capacity increased by 54%. SpO2 improvement was also achieved. At the beginning of rehabilitation it was 87%, and after the program it increased to 94%. On the 10-point Borg scale, the degree of fatigue decreased from 8 before the implementation of the rehabilitation program to 2 after its completion. Conclusions: 1. The analysis conducted shows the validity of the early use and comprehensive rehabilitation in patients with lung abscess and pneumonia. 2. A significant impact of rehabilitation procedures on increasing the degree of arterial blood oxygen saturation has been proven 3. The rehabilitation program carried out had a significant impact on the patient's degree of fatigue.
- Subjects
PNEUMONIA treatment; LUNG abscesses; MEDICAL rehabilitation; CHEST pain; CLINICAL trials
- Publication
European Journal of Clinical & Experimental Medicine, 2024, p17
- ISSN
2544-2406
- Publication type
Article