肺放線菌症の1例 : 診断・治療に関する文献的考察 Pulmonary Actinomycosis : Diagnosis and Therapy Based on Past Reports of Actinomycosis

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症例は57歳, 男性で主訴は血痰. 胸部X線写真, 胸部CTでは腫瘤様陰影を呈した. 気管支鏡検査等で診断に至らず, 肺癌を疑われ, 左下葉切除術施行. 切除肺より硫黄顆粒, 糸状の菌糸の集簇を認め, 肺放線菌症と診断した. 肺放線菌症は最近5年間では治療前診断例はやや増加し, 手術例の頻度はやや減少している. しかし, 手術例は今だに58%であり, 著明には改善していない. 腫瘤状陰影を呈する症例では本症も念頭におくべき疾患と再認識させられた.

A 57-year-old man who complained of bloody sputum was admitted to the hospital because of a spherical mass on a chest X-ray film. Despite a detailed examination, no definitive diagnosis was obtained, and a left lower lobectomy was done. Histopathologic examination of tissue from the resected lobe revealed sulfur granules and branching filamentous bacteria, and therefore pulmonary actinomycosis was diagnosed.<br>Examination of reports published in Japan in the last five years suggested a slight increase in the frequency of diagnosis before treatment of actinomycosis and a slight decrease in the frequency of surgical treatment. However, these changes are not surprising because the frequency of surgical treatment is 58%.<br>These findings suggest that pulmonary actinomycosis should be included in the differential diagnosis of a mass on a chest X-ray film.

収録刊行物

  • 日本胸部疾患学会雑誌 = The Japanese journal of thoracic diseases

    日本胸部疾患学会雑誌 = The Japanese journal of thoracic diseases 34(12), 1380-1384, 1996-12-01

    The Japanese Respiratory Society

参考文献:  13件中 1-13件 を表示

被引用文献:  9件中 1-9件 を表示

各種コード

  • NII論文ID(NAID)
    10008111923
  • NII書誌ID(NCID)
    AN00187758
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    03011542
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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