Back Pain, Multi-segmental Spondylitis, and Lung Consolidation-A Rare Constellation of Actinomycosis

放線菌病是一種罕見的肺部感染，它的臨床表現可和各種慢性化膿性肺部疾病或肺癌相近。放線菌於脊柱的感染更是罕見。本文描述一位28歲的男性主訴上背部疼痛六個月。胸部X光及電腦斷層顯示右上肺實質化和胸椎多節段脊柱炎。右上肺的病兆於超音波導引和電腦斷層導引下穿皆無法獲得確診。病患接受楔形切除後證實為放線菌感染。病人接受了四個月的盤尼西林類抗生素治療，症狀完全緩解，並不留任何後遺症。臨床上常難以確診放線菌感染。高度的臨床懷疑，早期的診斷和適當的治療才能預防嚴重的併發症。

關鍵字

放線菌；放線菌感染；肺實質化

並列摘要

Actinomycosis is a rare pulmonary infection that can mimic a variety of chronic suppurative lung diseases or lung tumors. Involvement of the vertebral column is very rare. In this article, we report the case of a 28-year-old man who presented with upper back pain for 6 months; radiological examinations showed right upper lung consolidation and multi-segmental spondylitis of the thoracic spine. Chronic inflammation was observed during ultrasonography-guided aspiration and conventional computed tomography-guided biopsy. Wedge resection via video-assisted thoracoscopic surgery of the right upper lung and histopathological examination of the tissue established a diagnosis of actinomycosis. The patient was treated with intravenous penicillin G for 14 days followed by oral amoxicillin/clavulanic acid for 3.5 months, without any sequelae. Actinomycosis infection is rare; therefore, a diagnosis can be difficult to attain. A high degree of clinical suspicion, an early diagnosis, and appropriate treatment may prevent morbidity considerably.

並列關鍵字

pulmonary actinomycosis ； spondylitis

國際替代計量

Back Pain, Multi-segmental Spondylitis, and Lung Consolidation-A Rare Constellation of Actinomycosis

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