Grzywa-Celińska Anna, Emeryk-Maksymiuk Justyna, Szmygin-Milanowska Katarzyna, Czekajska-Chehab Elżbieta, Milanowski Janusz
Chair and Department of Pneumonology, Oncology and Allergology, Medical University of Lublin, Poland.
Chair of Internal Medicine and Department of Internal Medicine in Nursing, Medical University of Lublin, Poland.
Ann Agric Environ Med. 2017 Jul 3;25(2):211-212. doi: 10.26444/aaem/75652.
Pulmonary localisation represents only 15% of all cases of actinomycosis. The clinical symptoms and radiological changes of this disease are non-specific and sometimes it can be misdiagnosed, usually as tuberculosis, lung cancer or lung abscess. In the reported case, what might look like the lung cancer, finally turned out to be actinomycosis. The interesting case is presented of lung actinomycosis in a 77-year-old farmer, admitted to the Department of Pneumonology, Oncology and Allegology in Lublin due to a massive haemoptysis. CT scan of the chest showed, apart from other changes, the spicular consolidation in the right lung which aroused oncology vigilance. The diagnostic path, which was a real medical challenge, led to the diagnosis of actinomycosis. The process of diagnosis and consequent treatment, which led to the complete regression of clinical and radiological changes, is presented.
肺部放线菌病仅占所有放线菌病病例的15%。该疾病的临床症状和影像学改变不具有特异性，有时会被误诊，通常被误诊为肺结核、肺癌或肺脓肿。在本报告病例中，看似肺癌的病症最终被诊断为放线菌病。本文介绍了一例有趣的病例，一名77岁的农民因大量咯血入住卢布林的肺病、肿瘤学和变态反应学科室，被诊断为肺部放线菌病。胸部CT扫描显示，除其他改变外，右肺有毛刺状实变，这引起了肿瘤学方面的警惕。诊断过程是一项真正的医学挑战，最终诊断为放线菌病。本文还介绍了诊断及后续治疗过程，该过程使临床和影像学改变完全消退。
