Surgical Treatment of Pulmonary Actinomycosis Mimicking Pulmonary Tuberculosis.
- Author:
Jin Gu LEE
1
;
Hyo Chae PAIK
;
Jeong Han KANG
;
Kyung Young CHUNG
;
Ja Seung KOO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Korea. hcpaik@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Actinomycosis;
Pulmonary tuberculosis
- MeSH:
Actinomycosis*;
Hemoptysis;
Humans;
Mastectomy, Segmental;
Middle Aged;
Rare Diseases;
Sulfur;
Thoracic Surgery;
Thorax;
Tuberculosis, Pulmonary*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2002;35(4):315-317
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pulmonary actinomycosis is a rare disease entity to undergo thoracic surgery. We experienced a 49-year-old man with pulmonary actinomycosis who was admitted due to recurrent hemoptysis. Prior to admission, he was diagnosed as pulmonary tuberculosis on the basis of his clinical manifestations and chest radiological findings. The plain chest x-ray and chest computed tomography(CT) showed a cavitary lesion in left upper lobe and was given anti-tuberculous medication, but the x-ray revealed no imprcovement. He underwent left upper lobe lobectomy with segmentectomy of lower lobe and the surgical specimen showed no evidence of mycobacterial infection, but revealed sulfur granules which is a typical pathological finding of actinomycosis. He was discharged uneventfully and is scheduled to receive 6 months of antibiotic treatment.
