Thoracic Actinomycosis: Two Case Reports and A Literature Review

胸腔放射線菌感染：二病例報告及文獻回顧

曾崇家(Chung-Chia Tseng) ； 柯獻欽(Shiann-Chin Ko) ； 鄭高珍(Kuo-Chen Cheng) ； 謝俊民(Jiunn-Min Shieh)

《胸腔醫學》 18卷1期 (2003/02) Pp. 58-63

摘要

胸腔放射線菌是不常見的感染，因為它的表現變異性大，常會模仿腫瘤和結核病的表現，以增加鑑別診斷的困難。我們有2病例報告，他們有相同症狀和實驗室報告。胸部ｘ光的表現有肺實質病變合併多發性周邊開洞，並位於左上肺葉，由於不同的診斷方式導致不同的疾病療程，病例1，先以支氣管鏡檢查並以沖洗液做細菌培養，但治療失敗，後來開刀才得到診斷，病例2，直接以胸部穿刺切片就得到診斷。此篇報告，我們比較此二個病例併文獻回顧。借此臨床經驗，可以提高正確診斷率。

關鍵字

胸腔放射線菌 ； 放射線菌

並列摘要

Thoracic actinomycosis is a rarely-seen infection that is hard to diagnose, partly because of its variable presentations; it has often been misdiagnosed as a tumor or tuberculosis. Two cases of thoracic actinomycosis which had the same symptoms, signs and laboratory findings, have been reported in our ward. The radiographic findings showed the lesions as consolidation combining multiple peripheral cavities in both upper lobes. But they had different durations of disease course due to having been diagnosed on different occasions. The primary diagnosis was based on a bronchial washing for culture, then a lobectomy (case 1) and trans-thoracic biopsy (case 2). We compare these two cases and present the results of a literature review in this report. Through accumulated clinical experience with these cases, clinicians can improve the accuracy of their definite diagnosis of thoracic actinomycosis.

並列關鍵字

thoracic actinomycosis ； actinomycosis