Ono N, Sato K, Yokomise H, Tamura K
Department of Thoracic Surgery, Japanese Red Cross Society, Wakayama Medical Center, Wakayama, Japan.
Respiration. 1999;66(1):85-7. doi: 10.1159/000029345.
We report the case of a 57-year-old man who was referred to our department for further investigation of an abnormal chest shadow. Radiography on admission demonstrated a coin lesion in the right hilum. To make a final diagnosis, right middle lobectomy was performed and the mass was revealed to be a fungal abscess. Further examination confirmed that the fungus was Paecilomyces lilacinus. This is the first reported case of lung abscess caused by P. lilacinus in an otherwise healthy person.
我们报告了一例57岁男性病例，该患者因胸部阴影异常被转诊至我科作进一步检查。入院时的X线检查显示右肺门有一个硬币状病灶。为做出最终诊断，实施了右肺中叶切除术，结果发现肿块是真菌性脓肿。进一步检查证实该真菌为淡紫拟青霉。这是首次报道在原本健康的人身上由淡紫拟青霉引起肺脓肿的病例。
