Hsieh M J, Shieh W B, Chen K S, Yu T J, Kuo H P, Tsai Y H
Department of Thoracic Medicine, Chang-Gung Memorial Hospital, Keelung, Taiwan.
Thorax. 1996 Feb;51(2):221-2. doi: 10.1136/thx.51.2.221.
A 40 year old diabetic man with pulmonary actinomycosis was admitted to hospital with recurrent haemoptysis. The chest radiograph showed an air meniscus in the left upper lobe, a rare presentation of pulmonary actinomycosis. Bronchoscopic examination revealed a mass in a cavity which has never been reported previously. He underwent lobectomy and the surgical specimen revealed sulphur granules, the typical pathological finding of actinomycosis, without evidence of fungal or mycobacterial infection.
一名患有肺放线菌病的40岁糖尿病男性因反复咯血入院。胸部X线片显示左上叶有空气半月征，这是肺放线菌病的一种罕见表现。支气管镜检查发现一个腔内肿物，此前从未有过相关报道。他接受了肺叶切除术，手术标本显示有硫磺颗粒，这是放线菌病的典型病理表现，未发现真菌或分枝杆菌感染的证据。
