Case report of occult pulmonary actinomycosis with foreign body
10.3760/cma.j.cn101070-20201130-01831
- VernacularTitle:隐匿性肺放线菌病并异物1例
- Author:
Qiuwei YI
1
;
Xiaonan LI
;
Xiaodong WANG
;
Juan CAO
;
Yanmin BAO
Author Information
1. 深圳市儿童医院呼吸科，深圳 518000
- Keywords:
Pulmonary actinomycosis;
Foreign body;
Child
- From:
Chinese Journal of Applied Clinical Pediatrics
2022;37(8):634-637
- CountryChina
- Language:Chinese
-
Abstract:
Clinical data of a case of occult pulmonary actinomycosis with foreign body admitted to Shenzhen Children′s Hospital were retrospectively analyzed, and the relevant literatures were retrieved and reviewed.A female patient aged 6 years and 9 months planned to receive hematopoietic stem cell transplantation due to thalassemia.During the plain chest CT examination before the transplantation, flakes of shadows were examined in the right lower lung.The child had no clinical symptoms or pulmonary signs.The granulation tissue hyperplasia of the right lower lobe was detected by tracheoscopy, which was harvested for examination under tracheoscopy, and actinomycete infection was confirmed.Several bone fragments were found wrapped inside the granulation.After 6 months of treatment with Amoxicillin and Clavulanate potassium, the tracheoscopic manifestations and chest CT were improved.Pulmonary actinomycosis is a rare pulmonary infectious disease, which is much rarer in children than adults, manifesting as an insidious onset and atypical clinical manifestations.However, foreign bodies in children′s airway are common, which is favorable to infection.In clinical detection of actinomycete infection, the cause of infection should be concerned to prevent misdiagnosis and mistreatment.
