Murray Michelle A, Rogan Mark P, Morgan Ross K, Linnane Seamus J
Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland.
Waterford Regional Hospital, Waterford, Ireland.
BMJ Case Rep. 2014 Aug 22;2014:bcr2014204109. doi: 10.1136/bcr-2014-204109.
A 65-year-old man was referred to the respiratory clinic with recurrent chest infections on a background of stage 3 chronic obstructive pulmonary disease. On examination, there was wheeze bilaterally more marked on the left lower lobe. Subsequent imaging revealed an obstruction of the left main bronchus that was concerning for malignancy. Initially, on flexible bronchoscopy, a hard mass was found and multiple biopsies were positive for actinomycosis. Subsequent rigid bronchoscopy was undertaken and a set of dentures were removed from the airway.
一名65岁男性因3期慢性阻塞性肺疾病反复出现胸部感染而被转诊至呼吸科门诊。检查时,双侧可闻及哮鸣音,左下叶更为明显。随后的影像学检查显示左主支气管阻塞,怀疑为恶性肿瘤。最初,在柔性支气管镜检查中发现一个硬性肿块,多次活检结果显示放线菌病阳性。随后进行了硬质支气管镜检查,并从气道中取出了一副假牙。