Thoracic Actinomycosis / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 50-55, 2005.
Article
in Korean
| WPRIM
| ID: wpr-100645
ABSTRACT
BACKGROUND:
Thoracic actinomycosis is a rare, chronic debilitating disease and it is difficult to diagnose and treat. MATERIAL ANDMETHOD:
Between March 1990 to December 2003, 17 patients were diagnosed and treated for actinomycosis in our center. Except 4 patients (involving cervicofacial, and abdominopelvic area), we reviewed the clinical characteristics, diagnosis method, and treatment in 13 patients.RESULT:
In 8 patients, the operation was required for diagnosis and treatment. 7 of 8 patients had tumor-like lesions in radiological findings and they were not distinguished as lung cancer, and 1 of 8 patients was non-responsive to the antibiotics therapy. Among the 5 medically treated patients, 4 of 5 patients were diagnosed by bronchoscopic biopsy and one by CT-guided biopsy. All of them was well-responsive by the antibiotic treatment.CONCLUSION:
Thoracic actinomycosis is a chronic inflammatory disease that respond well to antibiotics (penicillin therapy). It should be diagnosed by the repeated biopsy (CT-guided or bronchoscopic) before starting treatment. However, if the lesion is not distinguished as the lung cancer, non-responsive to the medical treatment, and the patients experience the recurrent hemoptysis, we can consider the operation for the diagnosis and treatment.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Biopsy
/
Actinomycosis
/
Diagnosis
/
Hemoptysis
/
Lung Neoplasms
/
Anti-Bacterial Agents
Type of study:
Diagnostic study
Limits:
Humans
Language:
Korean
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2005
Type:
Article
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