[一例与经支气管镜取出的支气管结石相关的支气管放线菌病病例]

[A case of bronchial actinomycosis associated with bronchoscopically removed broncholith].

作者信息

Watanabe N, Nakajima I, Kunikane H, Sukoh N, Takekawa H, Ogura S, Abe S, Kawakami Y

机构信息

First Department of Medicine, School of Medicine, Hokkaido University, Sapporo, Japan.

出版信息

Nihon Kyobu Shikkan Gakkai Zasshi. 1992 Mar;30(3):441-6.

PMID:1569723

Abstract

A 57-year-old woman with bronchial actinomycosis associated with broncholith is presented. She had suffered from fever and productive cough for 7 years. Her chest roentgenograms showed atelectasis of the middle lobe and calcification in the middle lobe bronchus. Bronchoscopic examination revealed a broncholith covered with pus and granulomatous tissue. The biopsy specimen revealed sulfur granules containing a partially calcified lesion, and it was diagnosed as actinomycosis. After treatment with antibiotics, the broncholith became movable, and it was removed bronchoscopically. Its shape was like a molding of the right middle lobe bronchus. We speculate that the growth of this broncholith partially resulted from chronic inflammation associated with actinomycelial infection.

摘要

本文报告一名57岁患有支气管放线菌病合并支气管结石的女性患者。她发热、咳痰7年。胸部X线片显示中叶肺不张及中叶支气管钙化。支气管镜检查发现一枚被脓液和肉芽肿组织覆盖的支气管结石。活检标本显示含部分钙化病变的硫黄颗粒，诊断为放线菌病。抗生素治疗后，支气管结石可活动，遂通过支气管镜将其取出。其形状类似右中叶支气管的铸型。我们推测该支气管结石的形成部分是由放线菌丝感染相关的慢性炎症所致。