Kobayashi K, Murakami S, Shimizu J, Hayashi Y, Watanabe Y
First Department of Surgery, School of Medicine, Kanazawa University, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1994 Mar;42(3):442-5.
Pulmonary actinomycosis is rare at present. A 11-year-old girl complained of left anterior chest pain and chest wall swelling. A radiograph of the chest revealed a consolidation in the left upper lobe. Sputum cultures showed normal flora and sputum cytology was negative for malignant disease. On 16 days after admission, the infection involved the bronchocutaneous fistula. Surgery was necessary to curettage. Histopathological specimen of resected necrotic tissue showed typical "sulfur granule" of actinomycosis. We administered penicillin for 3 months and the consolidation disappeared.
目前肺放线菌病较为罕见。一名11岁女孩主诉左前胸疼痛和胸壁肿胀。胸部X线片显示左上叶实变。痰培养显示为正常菌群，痰细胞学检查未发现恶性病变。入院16天后，感染累及支气管皮肤瘘。需要进行手术刮除。切除的坏死组织的组织病理学标本显示有典型的放线菌病“硫磺颗粒”。我们给予青霉素治疗3个月，实变消失。
