肺部放线菌病表现为孤立性肺结节

Q4 Medicine
Deghdegh Khaled, Terra Besma, Amoura Kamel, B. Rachid
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引用次数: 2

摘要

肺放线菌病(PA)是一种罕见且普遍存在的细菌性疾病,合并亚急性或慢性局灶性化脓和扩张性纤维肉芽肿病变。很少累及肺部。这种感染的放射临床表现是多形性的和令人困惑的。孤立性肺结节的形式是罕见的,没有文献记载。案例演示。我们报告一例71岁的患者,25年的烟盒吸烟者,通过反复的中度咯血和罕见的放射图像显示:在左胸底部有一个孤立的肺结节。细菌学研究的阴性,内窥镜样本,失败的治疗出血的药物和栓塞,最后怀疑肿瘤导致我们进行开胸手术诊断和治疗的目的。该手术突出了丝状嗜碱性颗粒的证据,提出了PA的诊断。经过02年的随访,适当的治疗使患者治愈无复发。结论肺部放线菌病可通过不同的影像学表现表现出来。肺放线菌病应考虑存在任何孤立的肺结节,以减少与开胸手术相关的发病率和费用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pulmonary Actinomycosis Revealed by a Solitary Pulmonary Nodule
Background Pulmonary actinomycosis (PA) is a rare and ubiquitous bacterial disorder, combining subacute or chronic focal suppuration and an expansive fibrogranulomatous lesion. Lung involvement is rare. The radioclinical manifestations of this infection are polymorphic and confusing. The form revealed by a solitary pulmonary nodule is exceptional and not documented in the literature. Case Presentation. We report a case of a 71-year-old patient, 25-year package smoker, revealed by repeated moderate-abundance hemoptysis with a rare radiological image: in the form of a solitary pulmonary nodule located at the left chest base. The negativity of bacteriological research, endoscopic samples, the failure of treatment of the bleeding by medical and embolization, and at last the suspicion of a neoplasia led us to perform a thoracotomy for diagnostic and therapeutic purposes. This surgery highlighted evidence of filamentous basophilic grains posing the diagnosis of PA. Appropriate treatment allowed a cure without recurrence after 02 years of follow-up. Conclusion Pulmonary actinomycosis can be revealed by different radiological forms. Pulmonary actinomycosis should be considered in the presence of any solitary lung nodule in order to reduce the morbidity and cost associated with thoracotomy.
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来源期刊
Case Reports in Pulmonology
Case Reports in Pulmonology Medicine-Pulmonary and Respiratory Medicine
CiteScore
1.80
自引率
0.00%
发文量
23
审稿时长
13 weeks
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