Mingrone H, Perrone R, La Rosa S, Schtirbu R, Lutzky L
Hospital de Enfermedades Infecciosas F. J. Muñiz, Buenos Aires, Argentina.
Medicina (B Aires). 1995;55(4):337-40.
This paper presents the fourth case reported on the association of primary bronchial actinomycosis and foreign body. The pathogenesis of this rare association has been linked to the low respiratory tract and a foreign body (chicken bone); it depends on its characteristics and how long it has remained lodged into the bronchial tree. The diagnosis of this case was very difficult and late. Several endoscopy procedures were required in order to detect it. Our patient has been treated successfully with parenteral penicillin in association with an original bronchoscopic procedure using a laser technique to find the foreign body and take it out of the respiratory tract. We consider that it is necessary to remember this association in every patient who suffers from recurrent pneumonia, in those who are at risk of foreign body aspiration and when the presence of an endobronchial mass is suspected.
本文介绍了第四例原发性支气管放线菌病与异物相关的病例报告。这种罕见关联的发病机制与下呼吸道和异物（鸡骨）有关；这取决于异物的特征及其在支气管树中存留的时间。该病例的诊断非常困难且延迟。需要进行多次内镜检查才能检测到。我们的患者通过静脉注射青霉素，并结合一种使用激光技术寻找异物并将其从呼吸道取出的原创支气管镜检查方法，得到了成功治疗。我们认为，对于每一位患有复发性肺炎的患者、有异物吸入风险的患者以及怀疑存在支气管内肿物的患者，都有必要记住这种关联。
