Zheng Mengning, Wei Yonggang, Borkar Niyati A, Hong Xiaojuan, Yang Xinyan, Zhang Nuofu, Wang Xinni
Department of Respiratory and Critical Care Medicine, Guizhou Provincial People's Hospital, Guiyang, Guizhou, China.
Department of Neurology, Gaozhou People's Hospital, Gaozhou, Guangdong, China.
Respir Med Case Rep. 2024 Jun 19;51:102050. doi: 10.1016/j.rmcr.2024.102050. eCollection 2024.
Pulmonary actinomycosis is a rare chronic purulent granulomatous disease, which can be easily misdiagnosed as lung cancer, tuberculosis, and other diseases. However, diagnosis relies on histopathological evidence, and early diagnosis is conducive to the patient's recovery. In this study, a case of a 70-year-old man with a soft tissue density mass at the right lower lung was studied, with initial chest CT suggesting lung cancer, pulmonary actinomycosis was confirmed by subsequent pathological biopsy of lung tissues eventually. The patient responded well to antibiotics treatment. This paper is to explore the clinical characteristics of the disease, providing insight into the disease, and its diagnosis and treatment.
肺放线菌病是一种罕见的慢性化脓性肉芽肿性疾病，很容易被误诊为肺癌、肺结核等疾病。然而，诊断依赖于组织病理学证据，早期诊断有利于患者康复。本研究对1例70岁男性右下肺软组织密度肿块病例进行了研究，最初胸部CT提示为肺癌，最终经肺组织病理活检确诊为肺放线菌病。该患者对抗生素治疗反应良好。本文旨在探讨该病的临床特征，以期深入了解该疾病及其诊断和治疗方法。
