Mabeza G F, Macfarlane J
Nottingham City Hospital, Nottingham, UK.
Eur Respir J. 2003 Mar;21(3):545-51. doi: 10.1183/09031936.03.00089103.
Pulmonary actinomycosis is a rare but important and challenging diagnosis to make. Even when the clinical suspicion is high, the disease is commonly confused with other chronic suppurative lung diseases and with malignancy. An early, accurate diagnosis will prevent the considerable psychological and physical morbidity, including unwarranted surgery, associated with delayed diagnosis. The clinical, radiological and therapeutic characteristics of the infection are reviewed here. Respiratory physicians should be aware of this important differential when investigating patients for persistent pulmonary shadowing. This will expedite the diagnosis of an otherwise highly treatable condition with an excellent prognosis if picked up early.
肺放线菌病是一种罕见但重要且具有挑战性的诊断。即使临床怀疑度很高，该疾病通常也会与其他慢性化脓性肺部疾病及恶性肿瘤相混淆。早期、准确的诊断将避免因诊断延迟而导致的包括不必要手术在内的相当大的心理和身体伤害。本文回顾了该感染的临床、放射学及治疗特征。呼吸内科医生在对持续存在肺部阴影的患者进行检查时应意识到这一重要的鉴别诊断。如果能早期发现，这将加快对一种原本极易治疗且预后良好的疾病的诊断。
