Knoepfli H J, Friedli B
Chest. 1975 Apr;67(4):494-6. doi: 10.1378/chest.67.4.494.
We report a case of pleuropulmonary actinomycosis in a child followed by a most unusual complication: the appearance of a systemic-to-pulmonary artery fistula in the area where the abscess was drained. Fifteen months after successful treatment with penicillin and surgical drainage, a continuous murmur was heard over the scar. Aortic angiography showed multiple connections between the intercostal arteries and the left pulmonary artery through an angiomatous lesion in the left lower lobe. This resulted in a considerable left-to-right shunt. Possible pathogenic mechanisms are discussed.
我们报告一例儿童胸膜肺放线菌病，随后出现了一种极为罕见的并发症：在脓肿引流区域出现了体循环至肺动脉瘘。在青霉素治疗和手术引流成功后的15个月，在瘢痕处听到了连续性杂音。主动脉血管造影显示，通过左下叶的一个血管瘤样病变，肋间动脉与左肺动脉之间存在多处连接。这导致了大量的左向右分流。文中讨论了可能的致病机制。
