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Pulmonary Actinomycosis Extension From Lung to Retroperitoneum:A Case Report

肺部放線菌病從肺部蔓延到後腹腔:病例報告

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摘要


肺部放線菌病是個少見的細菌感染,它的特徵是擴散到週邊組織而不遵守解剖構造。現今不但發生率逐漸的減少而且嚴重的個案更是越來越少。本病例為51歲的男性病人因為左側胸部腫塊住院,胸部X光及電腦斷層掃描顯現出左下葉實質化而有多房性膿瘍,病灶擴散到肋膜、胸壁及後腹腔。經手術後病理診斷為放線菌感染。病人的治療包括左下葉部份切除、膿瘍引流及青黴素抗生素使用。

並列摘要


Thoracic actinomycosis is an uncommon bacterial infection characterized by its ability to spread to contiguous tissues without regard to normal anatomic barriers. Together with the reduction of its incidence, the clinical presentation has changed markedly over the past decade. Nowadays, extensive destruction of the chest wall is rarely seen. We report a patient who was admitted with a soft tissue mass on the left lateral chest wall. Radiography and CT scans of the chest showed lower left lobe consolidation with fluid collection and extension to the pleura, chest wall, and retroperitoneum. Pulmonary actinomycosis was confirmed by operation and pathology. Treatment consisted of surgical resection, drainage, and antibiotics.

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