Rosdina Z, Nurul Yaqeen M E, Hanafiah M, Nor Salmah B
Universiti Teknologi MARA, Faculty of Medicine, Respiratory Unit, Selangor, Malaysia.
Universiti Teknologi MARA, Faculty of Medicine, Medical Imaging Unit, Selangor, Malaysia.
Med J Malaysia. 2017 Apr;72(2):147-149.
We report a case of a 34-year-old man who was initially treated as community acquired pneumonia following a three-month-history of productive cough, loss of weight and loss of appetite. However, three months after discharged from the hospital, he presented again with worsening respiratory symptoms and radiological evidence of a lung cavitation with intracavitary lesion resembling an aspergilloma associated with surrounding consolidation. Unfortunately, he remained symptomatic despite on antifungal therapy. The repeat computed-tomography demonstrated persistent cavitating lesion with development of necrotising pneumonia. He underwent lobectomy and the histopathological analysis of the resected specimen however revealed the diagnosis of actinomycosis.
我们报告了一例34岁男性患者，该患者最初因持续三个月的咳痰、体重减轻和食欲减退被诊断为社区获得性肺炎。然而，出院三个月后，他再次出现呼吸道症状加重，影像学检查显示肺部有空洞形成，空洞内病变类似曲菌球，并伴有周围实变。不幸的是，尽管接受了抗真菌治疗，他仍有症状。重复计算机断层扫描显示持续的空洞性病变，并发展为坏死性肺炎。他接受了肺叶切除术，然而，切除标本的组织病理学分析显示诊断为放线菌病。
