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放线菌病继发严重咯血:一例报告

Severe Hemoptysis Secondary to Actinomycosis: A Case Report.

作者信息

Zhao Xiang, Huang Junfang, Wang Lina, Guo Cuiyan, Di JiTing, Xiong Yan, Huang Weiming, Ma Jing, Wang Guangfa

机构信息

Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing, People's Republic of China.

Department of Pathology, Peking University First Hospital, Beijing, People's Republic of China.

出版信息

Infect Drug Resist. 2023 May 12;16:2933-2937. doi: 10.2147/IDR.S410499. eCollection 2023.

DOI:10.2147/IDR.S410499
PMID:37201123
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10187644/
Abstract

Pulmonary actinomycosis (PA) is an uncommon, asymptomatic, and frequently misdiagnosed pulmonary infectious illness. Our patient remained undiagnosed despite extensive regular and invasive testing, significant intermittent hemoptysis, and repeated bronchial artery embolization. Ultimately, a left lower lobectomy was performed via video-assisted thoracoscopic surgery, and a histopathological examination revealed an actinomycete infection.

摘要

肺放线菌病(PA)是一种罕见的、无症状且常被误诊的肺部感染性疾病。尽管进行了广泛的常规和侵入性检查、明显的间歇性咯血以及反复的支气管动脉栓塞,但我们的患者仍未得到诊断。最终,通过电视辅助胸腔镜手术进行了左下叶切除术,组织病理学检查显示为放线菌感染。

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本文引用的文献

1
Clinical features of actinomycosis: A 20-year experience of a single institute in Southern China.放线菌病的临床特征:中国南方单家医院 20 年经验。
J Mycol Med. 2021 Sep;31(3):101169. doi: 10.1016/j.mycmed.2021.101169. Epub 2021 Jun 19.
2
[Pulmonary actinomycosis in children: a case report and literature review].[儿童肺部放线菌病:一例报告及文献复习]
Zhonghua Er Ke Za Zhi. 2021 Jan 2;59(1):33-36. doi: 10.3760/cma.j.cn112140-20200430-00453.
3
A 78-Year-Old Man With Recurrent Hemoptysis and Persistent Pulmonary Nodule.一位 78 岁男性,反复咯血,肺部持续存在结节。
Chest. 2020 Mar;157(3):e79-e84. doi: 10.1016/j.chest.2019.10.046.
4
A 51-Year-Old Woman With Pellets in the Sputum.一位 51 岁女性,痰液中存在颗粒。
Chest. 2020 Feb;157(2):e25-e29. doi: 10.1016/j.chest.2019.09.037.
5
A difficult disease to diagnosis: Pulmonary actinomycosis.一种难以诊断的疾病:肺放线菌病。
Clin Respir J. 2020 Apr;14(4):416-418. doi: 10.1111/crj.13136. Epub 2019 Dec 27.
6
Actinomycosis: etiology, clinical features, diagnosis, treatment, and management.放线菌病:病因、临床特征、诊断、治疗和管理。
Infect Drug Resist. 2014 Jul 5;7:183-97. doi: 10.2147/IDR.S39601. eCollection 2014.
7
Pulmonary actinomycosis during the first decade of 21st century: cases of 94 patients.21 世纪第一个十年中的肺部放线菌病:94 例患者的病例。
BMC Infect Dis. 2013 May 14;13:216. doi: 10.1186/1471-2334-13-216.
8
An overview of thoracic actinomycosis: CT features.胸部放线菌病概述:CT 特征。
Insights Imaging. 2013 Apr;4(2):245-52. doi: 10.1007/s13244-012-0205-9. Epub 2012 Dec 15.
9
Treatment of thoracic actinomycosis: A retrospective analysis of 40 patients.胸 actinomycosis 的治疗:40 例回顾性分析。
Ann Thorac Med. 2010 Apr;5(2):80-5. doi: 10.4103/1817-1737.62470.
10
Pulmonary actinomycosis.肺放线菌病
Eur Respir J. 2003 Mar;21(3):545-51. doi: 10.1183/09031936.03.00089103.