Miller A R, Robertson J M, Nelson R J, Castro C A, Dickman P S
Division of Cardiothoracic Surgery, Los Angeles County Harbor/UCLA Medical Center, Torrance 90509.
Ann Thorac Surg. 1989 Feb;47(2):305-7. doi: 10.1016/0003-4975(89)90296-8.
We report a case of systemic-to-pulmonary artery fistula associated with thoracic actinomycosis and with metastatic hematogenous dissemination to the soft tissues of the back. The difficulty in diagnosing thoracic actinomycosis may predispose to the increased incidence of hematogenous spread of this disease. Although resection of pulmonary tissue including the infectious mass was required in previous cases, resection of the pleural mass alone was curative in this patient when combined with penicillin therapy.
我们报告一例与胸段放线菌病相关的体循环至肺动脉瘘，并伴有血行性转移至背部软组织。胸段放线菌病诊断困难可能导致该病血行播散发生率增加。尽管之前的病例需要切除包括感染灶在内的肺组织，但该患者单纯切除胸膜肿块并联合青霉素治疗即治愈。
