Division of Chest Medicine, Department of Internal Medicine, Zhongxing Branch of Taipei City Hospital, Taiwan, ROC.
Division of General Surgery, Department of Surgery, Zhongxing Branch of Taipei City Hospital, Taiwan, ROC.
J Med Microbiol. 2011 Apr;60(Pt 4):543-546. doi: 10.1099/jmm.0.026427-0. Epub 2010 Dec 23.
Pulmonary aspergilloma and pulmonary actinomycosis are rare pulmonary infectious diseases. Clinical manifestations of pulmonary aspergilloma and pulmonary actinomycosis include chronic cough, fever, chest pain, haemoptysis and other pathologies, but some patients may be asymptomatic. We report a case of a healthy 33-year-old woman without any underlying diseases, who was admitted to Zhongxing Branch of Taipei City Hospital, Taiwan, for intermittent haemoptysis and right upper chest pain, which had persisted for several months. A chest radiograph revealed a focal consolidation in the right upper lobe (RUL) of the lung, which grew in size over time. A sputum study and bronchoscopy revealed no positive findings, although malignancy could not be ruled out. Thus, the patient received a wedge resection of the RUL lesion. Subsequent, pathological examination demonstrated the presence of pulmonary aspergilloma and pulmonary actinomycosis. The patient's symptoms resolved after resection of the RUL lesion.
肺曲霉菌球和肺放线菌病是罕见的肺部感染性疾病。肺曲霉菌球和肺放线菌病的临床表现包括慢性咳嗽、发热、胸痛、咯血等，但部分患者可能无症状。我们报告 1 例无基础疾病的 33 岁健康女性，因间歇性咯血和右上胸痛就诊于中国台湾台北市立中兴医院中兴分院，上述症状持续数月。胸部 X 线片显示右肺上叶（RUL）局灶性实变，且随时间推移逐渐增大。痰检和支气管镜检查未发现阳性结果，但不能排除恶性肿瘤。因此，患者接受了 RUL 病变楔形切除术。随后的病理检查显示存在肺曲霉菌球和肺放线菌病。RUL 病变切除后，患者症状缓解。
