Morita S, Honda Y, Fujishima T, Hirasawa M, Tanaka H, Satoh M, Abe S
Third Department of Internal Medicine, Sapporo Medical University, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1994 Jul;32(7):676-9.
We report the first case of pulmonary actinomycosis that was diagnosed by histological findings of transbronchial lung biopsy specimen. A 60-year-old man was admitted because of cough and bloody sputa. His chest roentgenogram and CT scan revealed a cavitary opacity in the apex of the left lung. Histological findings of the biopsy specimen showed multiple basophilic actinomyces granules accompanied by an acute inflammatory exudate, confirming the diagnosis of pulmonary actinomycosis. We prescribed antibiotic treatment and a good response was obtained.
我们报告首例通过经支气管肺活检标本的组织学检查确诊的肺放线菌病病例。一名60岁男性因咳嗽和咯血入院。他的胸部X线片和CT扫描显示左肺尖有一个空洞性混浊。活检标本的组织学检查发现多个嗜碱性放线菌颗粒伴有急性炎性渗出物，证实为肺放线菌病。我们给予抗生素治疗，取得了良好的疗效。
