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Diagnostic Dilemma with a Case of Primary Bronchopulmonary Actinomycosis Causing Unilateral Destroyed Lung: A Case Report and Literature Review

Diagnostic Dilemma with a Case of Primary Bronchopulmonary Actinomycosis Causing Unilateral Destroyed Lung: A Case Report and Literature Review

作     者:Md. Abir Tazim Chowdhury Sohail Ahmed Md. Zulfiqur Haider S. M. A. Zulker Nine Md. Kamrul Hasan Md. Estiak Ullah Sahid Musfaqus Shalehin Md. Abdullah Al-Mahammud Kabir Niaz Ahmed Munama Magdum Md. Abir Tazim Chowdhury;Sohail Ahmed;Md. Zulfiqur Haider;S. M. A. Zulker Nine;Md. Kamrul Hasan;Md. Estiak Ullah Sahid;Musfaqus Shalehin;Md. Abdullah Al-Mahammud Kabir;Niaz Ahmed;Munama Magdum

作者机构:Department of Cardiothoracic and Vascular Surgery Evercare Hospital Dhaka Bangladesh Department of Cardiothoracic Anesthesia Evercare Hospital Dhaka Bangladesh Department of Community Medicine Shaheed Monsur Ali Medical College Dhaka Bangladesh 

出 版 物:《Open Journal of Thoracic Surgery》 (胸外科期刊(英文))

年 卷 期:2022年第12卷第1期

页      面:1-10页

学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主  题:Pulmonary Actinomycosis Destroyed Lung Diagnostic Dilemma 

摘      要:Among chronic pulmonary infections, pulmonary actinomycosis is a rare one, caused by a gram-positive microaerophilic bacterium called Actinomyces. Aside from cervicofacial or abdominopelvic actinomycosis, pulmonary involvement is rare, and sometimes this type of infection results in a misdiagnosis of pulmonary tuberculosis or carcinoma. Clinical presentation of pulmonary actinomycosis could be acute or subacute, with lobar involvement. However, the disease is most commonly diagnosed at the chronic phase, with patients presenting mild fever, weight loss, and occasional hemoptysis. Here, we described the case of a 30-year-old male patient, presented with a history of respiratory complaints for more than three years and was diagnosed clinically and radiologically as a case of a destroyed left lung. Later on, post-operative tissue diagnosis was confirmed—pulmonary actinomycosis.

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