支气管内放线菌病

Endobronchial actinomycosis.

作者信息

Dalhoff K, Wallner S, Finck C, Gatermann S, Wiessmann K J

机构信息

Dept of Internal Medicine, Medical University, Lübeck, Germany.

出版信息

Eur Respir J. 1994 Jun;7(6):1189-91.

PMID:7925892

Abstract

Endobronchial actinomycosis was found to be the cause of right-sided atelectasis and haemoptysis in a 57 year old man without predisposing conditions. Fibreoptic bronchoscopy revealed occlusion of the intermediate bronchus by yellow-white masses. The diagnosis was confirmed histologically and by positive Actinomyces culture from bioptic material. Prolonged antibiotic treatment resulted in complete recovery, without need for surgical resection.

摘要

一名57岁无诱发因素的男性，经检查发现支气管内放线菌病是导致其右侧肺不张和咯血的原因。纤维支气管镜检查显示中间支气管被黄白色团块阻塞。组织学检查及活检材料放线菌培养阳性确诊了该病。长期抗生素治疗使患者完全康复，无需手术切除。