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肺放线菌病一例
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Tuberculosis and Respiratory Diseases
- Issue:
- 8
- DOI:
- 10.3760/cma.j.issn.1001-0939.2017.08.020
- Key Word:
- No keyword available
Abstract： 近年来肺放线菌病的发病率虽有增加趋势[1-2],但因其发病率相对较低,而临床症状和体征多不典型,极易误诊[3-4].现将我院收治的1例肺放线菌病病例报道如下.患者男,42岁,因"间断咳嗽4个月,咳痰、咯血2个月,加重1 d"于2015年10月28日入院.患者4个月前受凉后出现咳嗽,无其他伴随症状,自服"头孢他美酯胶囊"后稍缓解.2个月前出现咳痰、咯血,为痰中带血,猩红色.外院胸部CT示右肺下叶占位性病变(图1~3),经"左氧氟沙星和阿奇霉素"治疗1周.在某肿瘤医院行经支气管超声(EBUS)取活检,病理结果示少量破碎支气管上皮,伴急、慢性炎细胞浸润,未见明确肿瘤细胞;继续上述方案治疗,仍间断咯血,复查胸部CT示病灶未见好转(图4,5).
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