Tuberculosis and Respiratory Diseases
- Volume 39 Issue 5
- /
- Pages.438-442
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- 1992
- /
- 1738-3536(pISSN)
- /
- 2005-6184(eISSN)
A Case of Pulmonary Actinomycosis
폐의 방선균증 1예
- Jang, Jie-Jung (Department of Internal Medicine, Catholic University medical College) ;
- Kim, Sung-Su (Department of Internal Medicine, Catholic University medical College) ;
- Kim, Chi-Hong (Department of Internal Medicine, Catholic University medical College) ;
- Kwon, Soon-Seog (Department of Internal Medicine, Catholic University medical College) ;
-
Kim, Young-Kyoon
(Department of Internal Medicine, Catholic University medical College)
;
- Kim, Kwan-Hyoung (Department of Internal Medicine, Catholic University medical College) ;
- Han, Ki-Don (Department of Internal Medicine, Catholic University medical College) ;
- Moon, Hwa-Sik (Department of Internal Medicine, Catholic University medical College) ;
- Song, Jong-Sup (Department of Internal Medicine, Catholic University medical College) ;
- Park, Sung-Hak (Department of Internal Medicine, Catholic University medical College) ;
- Seo, Eun-Ju (Department of Clinical Pathology, Catholic University medical College)
- 장지정 (가톨릭대학 의학부 내과학교실) ;
- 김성수 (가톨릭대학 의학부 내과학교실) ;
- 김치홍 (가톨릭대학 의학부 내과학교실) ;
- 권순석 (가톨릭대학 의학부 내과학교실) ;
-
김영균
(가톨릭대학 의학부 내과학교실)
;
- 김관형 (가톨릭대학 의학부 내과학교실) ;
- 한기돈 (가톨릭대학 의학부 내과학교실) ;
- 문화식 (가톨릭대학 의학부 내과학교실) ;
- 송정섭 (가톨릭대학 의학부 내과학교실) ;
- 박성학 (가톨릭대학 의학부 내과학교실) ;
- 서은주 (가톨릭대학 의학부 임상병리학교실)
- Published : 1992.10.31
Abstract
Actinomycosis is a chronic suppurative infection characterized by extensive necrosis, fibrosis and sinus formation without regard to normal tissue planes. The causative organism in human infection is Actinomyces israelii. Thoracic actinomycosis is diagnosed in the presence of poor oral hygiene, pulmonary infiltrate, empyema, sinus tract and osteomyelitis of ribs. However, in the absence of chest wall involvement, the diagnosis of pulmonary actinomycosis is difficult and its initial clinical manifestations may lead physicians to suspect tuberculosis or neoplasm. It could not be distinguished from tuberculosis or neoplasm radiologically. We report a case of pulmonary actinomycosis in a 64 year old woman with a review of the literature.
저자들은 최근 폐만을 침습하여 임상 및 방사선학적으로 기타 염증성 질환이나 악성 암과의 감별이 어려웠던 환자에서 기관지경하 생검을 통해 진단된 방선균종 1예를 경험하였기에 문헌고찰과 함께 이를 보고하는 바이다.