Bronchoscopic diagnosis of an unusual presentation of pulmonary actinomycosis
Bronchoscopic diagnosis of an unusual presentation of pulmonary actinomycosis
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肺放线菌病异常表现的支气管镜诊断
DOI：
10.1002/ppul.1950160210
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发表时间：
1993
影响因子：
3.1
通讯作者：
I. Dab
中科院分区：
文献类型：
--
作者：
P. Lenoir;L. Gilbert;A. Goossens;D. Tempels;M. Alexander;I. Dab
在儿科年龄组中，当诊断和治疗需要开放肺活检和手术切除时，放线菌很少引起非典型肺炎。这些微生物是牙周感染中多微生物植物群的常规组分。这些可能是全身性疾病的原因，如肺放线菌病，由吸入干酪状牙齿材料引起。大多数病例发生在患有龋齿的受损儿童中，尽管偶尔也可以在其他健康儿童中观察到这种情况。肺放线菌病的临床表现近年来有了很大的变化，它通常表现为一种亚急性疾病，伴有咳嗽、呼吸困难和胸痛。放射学检查结果为未解决的肺炎或肺浸润，提示结核或癌症。我们报告一个3岁的男孩，其中的诊断是由病理检查的材料获得支气管镜。
Actinomyces species rarely cause atypical pneumonia in the pediatric age group when open lung biopsy and surgical resection are needed for diagnosis and treatment. These microorganisms are a regular component of the polymicrobial flora in periodontal infections. These may then be responsible for systemic diseases, such as pulmonary actinomycosis, caused by aspiration of caseous dental material.’” Most cases occur in compromised children with dental caries, though it can also be observed occasionally in otherwise healthy children. The clinical picture of pulmonary actinomycosis has changed considerably in recent years ’ and it generally presents as a subacute illness with coughing, dyspnea, and chest pain. Radiological findings are those of unresolved pneumonia or of a pulmonary infiltrate suggesting tuberculosis or cancer. We report on a 3-year-old boy in whom the diagnosis was made by pathological examination of material obtained by bronchoscopy .