Boo Y L, How K N, Pereira D S, Chin P W, Foong K K, Lim S Y
Hospital Sultanah Nora Ismail, Department of Medicine, Batu Pahat, Johor, Malaysia.
Universiti Putra Malaysia, Faculty of Medicine and Health Sciences, Department of Medicine, Serdang, Selangor, Malaysia.
Med J Malaysia. 2017 Aug;72(4):246-247.
Pulmonary actinomycosis is a rare yet important and challenging diagnosis to make. It is commonly confused with other lung diseases, such as tuberculosis and bronchogenic carcinoma, leading to delay diagnosis or misdiagnosis. A 49-year-old man presented with a chronic cough, hemoptysis, and pleuritic chest pain. His initial imaging studies including computed tomography (CT) was suggestive of bronchogenic carcinoma. A subsequent CTguided biopsy was consistent with pulmonary actinomycosis and excluded the possibility of bronchogenic carcinoma. He was treated with antibiotic therapy and achieved remission with complete radiological resolution upon follow-up.
肺放线菌病是一种罕见但重要且具有诊断挑战性的疾病。它常与其他肺部疾病，如肺结核和支气管源性癌相混淆，导致诊断延迟或误诊。一名49岁男性出现慢性咳嗽、咯血和胸膜炎性胸痛。他最初的影像学检查，包括计算机断层扫描（CT）提示支气管源性癌。随后的CT引导下活检结果与肺放线菌病相符，并排除了支气管源性癌的可能性。他接受了抗生素治疗，随访时影像学完全恢复，病情缓解。
