Bronchiectasis Complicated with Endobronchial Actinomycosis-A Case Report and Review of the Literature

支氣管擴張症併發支氣管內放射菌病－一病例報告及文獻回顧

黃培堯(Pei-Yao Huang) ； 枋岳甫(Yueh-Fu Fang) ； 謝孟亨(Meng-Heng Hsieh) ； 林鴻銓(Horng-Chyuan Lin)

《胸腔醫學》 19卷5期 (2004/10) Pp. 373-381

https://doi.org/10.29806/TM.200410.0010

摘要

肺部放射菌病佔全部放射菌病的百分之十五。以支氣管內腫塊為表現的原發性支氣管內放射菌病極為稀少，且大部份又和異物吸入有相關聯。我們在此報告一五十歲男性病患同時合併有原發性支氣管內放射菌病及支氣管擴張症；依照這病例及先前文獻所報告的病例，我們描述這種不常見併發疾病的主要特微：胸部X光片顯示左下肺部實質化及支氣管鏡發現一支氣管內腫塊。腫塊的病理切片顯示無惡性腫瘤變化但有急、慢性發炎現象伴隨著放射菌顆粒。我們先給予抗生素治療，但沒有明顯改善，所以外科手術治療已建議施行。

關鍵字

支氣管擴張症 ； 支氣管內放射菌病 ； 放射菌病

並列摘要

Pulmonary actinomycosis constitutes 15% of the total burden of actinomycosis. Primary endobronchial actinomycosis is an extremely rare disease that presents with an endobronchial mass, and most of these are related to foreign body aspiration. We herein report a 50-year-old male who is a case of primary endobronchial actinomycosis associated with bronchiectasis. In the light of this case and those previously reported in the literature, we describe the main features of this uncommon association. The chest radiograph revealed a consolidation in the left lower lung, and an exophytic endobronchial mass was noted with bronchoscopy. Pathology of the mass was negative for malignancy, but revealed acute and chronic inflammation with granules of actinomyces. Medical antibiotic therapy was given initially, but without significant improvement. Surgical intervention was then considered.

並列關鍵字

bronchiectasis ； endobronchial actinomycosis ； actinomycosis