Balikian J P, Cheng T H, Costello P, Herman P G
Radiology. 1978 Sep;128(3):613-6. doi: 10.1148/128.3.613.
The diagnosis of thoracic actinomycosis is readily made when the patient presents with the constellation of poor oral hygiene, pulmonary infiltrates, empyema, sinus tracts, and osteomyelitis of the ribs. However, in the absence of rib and chest wall involvement, the disease may be overlooked. Three cases of primary pulmonary actinomycosis are presented showing three different pulmonary forms of the disease and comprising (a) subacute patchy pulmonary infiltrates, (b) a cavitary lesion simulating tuberculosis, and (c) a central mass lesion simulating bronchogenic carcinoma.
当患者出现口腔卫生差、肺部浸润、脓胸、窦道及肋骨骨髓炎等一系列症状时，胸段放线菌病的诊断并不困难。然而，在无肋骨及胸壁受累的情况下，该病可能会被漏诊。本文报告3例原发性肺放线菌病，展示了该病三种不同的肺部表现形式，包括：（a）亚急性斑片状肺部浸润；（b）类似肺结核的空洞性病变；（c）类似支气管源性癌的中央肿块性病变。
