异物诱导的放线菌病酷似支气管源性癌。
Foreign body-induced actinomycosis mimicking bronchogenic carcinoma.
作者信息
Kim Young Shin, Suh Ju Hyun, Kwak Seung Min, Ryu Jeong Seon, Cho Chul Ho, Park Chan Sup, Min Soo Kee
机构信息
Department of Internal Medicine, College of Medicine, Inha University, Inha General Hospital, Songnam, 7336 Tae Pyuong-4 Dong, Sujong-Ku, Songnam, Kyongkido 461-712, Korea.
出版信息
Korean J Intern Med. 2002 Sep;17(3):207-10. doi: 10.3904/kjim.2002.17.3.207.
Actinomycosis is a slowly progressive infectious disease caused by an anaerobic and microaerophilic bacteria that colonizes the face, neck, lung, pleura and the ileocecal region. There have been a few cases of this disease which have involved in the lung but one very rare case has been reported. We report a case of foreign body-induced endobronchial actinomycosis mimicking bronchogenic carcinoma in a 69-year-old man. On admission, the patient presented with weight loss, cough and hemoptysis. The fiberoptic bronchoscopy revealed a soft tissue mass, with a partial occlusion of the left upper bronchus, which resembled bronchogenic carcinoma. Contrary to the first impression, the biopsy of the bronchus revealed the mass lesion to be an actinomycotic infection involving the bronchus. After the confirmation of the lesion, treatment with penicillin was initiated. The follow-up bronchoscopy revealed an aspirated fish bone at the site of infection. The foreign body was safely removed.
放线菌病是一种由厌氧和微需氧细菌引起的缓慢进展性传染病，这些细菌定殖于面部、颈部、肺部、胸膜和回盲部区域。这种疾病累及肺部的病例已有数例，但有一例极为罕见的病例被报道。我们报告一例69岁男性患者，其因异物导致支气管内放线菌病，临床表现酷似支气管源性癌。入院时，患者出现体重减轻、咳嗽和咯血症状。纤维支气管镜检查发现一个软组织肿块，左上支气管部分阻塞，类似支气管源性癌。与最初印象相反，支气管活检显示肿块病变为累及支气管的放线菌感染。在确诊病变后，开始用青霉素治疗。后续支气管镜检查发现感染部位有一根误吸入的鱼骨。异物被安全取出。
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