Foreign Body Aspiration Complicated with Endobronchial Actinomycosis

異物吸入併發支氣管內放線菌感染：一病例報告及文獻回顧

陳欽明(Chin-Ming Chen) ； 謝俊民(Jiunn-Min Shieh) ； 蔣士仁(Shyh-Ren Chiang) ； 林靖南(Chin-Nan Lin) ； 柯獻欽(Shiann-Chin Ko)

《胸腔醫學》 18卷4期 (2003/08) Pp. 362-367

摘要

支氣管內放線菌感染是一罕見的疾病，臨床上可能被誤診為腫瘤，肺結核或肺炎。異物吸入併發支氣管內放線菌感染在文獻回顧上更是非常少見。我們報告一個中年男性在異物吸入一年後呈現右下肺實質化。支氣管鏡顯示右下支氣管開口有多發性，息肉狀組織圍繞著一塊吸入的魚骨頭。從支氣管息肉狀組織的切片顯示為放線菌。這病人對我們經支氣管鏡移除異物後反應相當良好，並在兩天後，在沒有使用抗生素的情況下出院。隨後的追蹤發現他在臨床及影像上都有顯著的改善。

關鍵字

異物吸入 ； 支氣管內放線菌感染

並列摘要

Endobronchial actinomycosis is a rare condition and may mimic a neoplasm, tuberculosis, or pneumonia. The combination of a foreign body and endobronchial actinomycosis is exceedingly rare in reviews. We report a 48-year-old man who suffered from a consolidated lesion in the right lower lobe one yea r after aspiration of a foreign body. The bronchoscopy revealed polypoid tissues surrounding an aspirated fish bone in the orifice of the right lower lobe bronchus. The pathologic data from the biopsy of the endobronchial polypoid tissues revealed actinomycosis. The patient responded well to bronchoscopic removal of the foreign body and was discharged 2 days later without antibiotic treatment. The subsequent follow-up revealed significant improvement both clinically and radiologically.

並列關鍵字

Foreign body aspiration ； endobronchial actinomycosis