Department of Medicine, Chicago Medical School/Rosalind Franklin, University of Medicine and Science, Chicago, IL, USA.
Am J Ther. 2011 Sep;18(5):e177-9. doi: 10.1097/MJT.0b013e3181d10a93.
A 58-year-old man admitted for evaluation of weight loss and dry cough. Initially, he was diagnosed with community-acquired pneumonia. Despite receiving antibiotics, his clinical status deteriorated and was intubated. Fiber optic bronchoscopy revealed a significant amount of mucopurulent secretions. Bronchoalveolar lavage showed marked amount of sulfur granules identified on stain. Microbiology culture was compatible with Actinomyces israelii. Pulmonary actinomycosis is a rare but important and challenging diagnosis to make. It presents with wide spectrum of clinical and radiologic characteristics. Failure to recognize the disease early may result in drastic complications.
一位 58 岁男性因体重减轻和干咳入院接受评估。最初，他被诊断为社区获得性肺炎。尽管接受了抗生素治疗，但他的临床状况恶化并被插管。纤维支气管镜检查显示有大量脓性黏液分泌物。支气管肺泡灌洗显示在染色时发现大量硫磺颗粒。微生物培养与衣氏放线菌一致。肺放线菌病是一种罕见但重要且具有挑战性的疾病。它具有广泛的临床和影像学特征。如果早期未能识别出该疾病，可能会导致严重的并发症。
