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A Case of Pulmonary Actinomycosis with Drusen Diagnosed by Ultra-thin Bronchoscope
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- Ohuchi Masatsugu
- Department of Thoracic Surgery, National Hospital Organization Shiga National Hospital
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- Inoue Shuhei
- Department of Thoracic Surgery, National Hospital Organization Shiga National Hospital
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- Hanaoka jun
- Department of Thoracic Surgery, National University Corporation, Shiga University of Medical Science
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- Igarashi Tomoyuki
- Department of Thoracic Surgery, National Hospital Organization Shiga National Hospital
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- Tezuka Noriaki
- Department of Thoracic Surgery, National University Corporation, Shiga University of Medical Science
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- Ozaki Yoshitomo
- Department of Thoracic Surgery, National University Corporation, Shiga University of Medical Science
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- Teramoto Koji
- Department of Thoracic Surgery, National University Corporation, Shiga University of Medical Science
Bibliographic Information
- Other Title
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- 極細径気管支鏡を使用し菌塊を証明した肺放線菌症の1切除例
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Description
Background. Pulmonary actinomycosis is often too difficult to make a definitively diagnose, because it is often necessary to distinguish it from lung cancer, tuberculosis, and fungal infection. Case. A 69-year-old woman was admitted to our hospital because of refractory hemoptysis. Chest computed tomography(CT) revealed a cavity about 1.5cm in diameter with focal bronchiectasis in the right S^6. A white mass was shown in the right B^6ciiβ by an ultra-thin bronchoscope. The definitive diagnosis of pulmonary actinomycosis was made by transbronchial biopsy and bronchial lavage cytology from the biopsy specimen because of detection of sulfur granules and drusen. Although the infiltrative shadow on chest CT had improved after administration of amoxicillin for 9 months, hemosputurn and the cavity on CT has been remained. Therefore operation was performed. The postoperative course has been uneventful with no signs of recurrence. Conclusion. We reported a case of pulmonary actinomycosis with hemoptysis diagnosed by ultra-thin bronchoscopy. Cases of pulmonary actinomycosis with recurrent hemosputum and residual lesion after medication may require surgery.
Journal
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- The Journal of the Japan Society for Respiratory Endoscopy
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The Journal of the Japan Society for Respiratory Endoscopy 30 (1), 41-45, 2008
The Japan Society for Respiratory Endoscopy
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Details 詳細情報について
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- CRID
- 1390282679728778496
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- NII Article ID
- 110006623739
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- NII Book ID
- AN00357687
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- ISSN
- 21860149
- 02872137
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed
