Thoracopulmonary actinomycosis, a case report of a 42-year-old man with coughing and a bump in his right axilla.

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Acta Clinica Belgica Pub Date : 2014-08-01 Epub Date: 2014-06-10 DOI:10.1179/2295333714Y.0000000014
C B Seghers, I Stappaerts
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Abstract

The diagnosis of thoracopulmonary actinomycosis is challenging because it is a rare disease, symptoms are aspecific and can mimic a lot of other lung pathologies. Especially the differential diagnosis with pulmonary tuberculosis is difficult because clinical symptoms are often very similar. We present a case of thoracopulmonary abcedating actinomycosis in a young immunocompetent man with no predisposing illness. He was initially treated for pulmonary tuberculosis. He showed good response to IV penicillin, which was later switched to oral amoxicillin when he went home.

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胸肺放线菌病,报告一例42岁男性咳嗽及右腋窝肿块。
胸肺放线菌病的诊断是具有挑战性的,因为它是一种罕见的疾病,症状是特异性的,可以模仿许多其他肺部病理。尤其是与肺结核的鉴别诊断是困难的,因为临床症状往往非常相似。我们提出一个病例的胸肺脱落放线菌病在一个年轻的免疫能力的人没有易感疾病。他最初接受的是肺结核治疗。他对静脉注射青霉素反应良好,回家后改用口服阿莫西林。
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来源期刊
Acta Clinica Belgica
Acta Clinica Belgica MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
0.00%
发文量
44
期刊介绍: Acta Clinica Belgica: International Journal of Clinical and Laboratory Medicine primarily publishes papers on clinical medicine, clinical chemistry, pathology and molecular biology, provided they describe results which contribute to our understanding of clinical problems or describe new methods applicable to clinical investigation. Readership includes physicians, pathologists, pharmacists and physicians working in non-academic and academic hospitals, practicing internal medicine and its subspecialties.
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