Nonresolving Pneumonia

被引：2
|
作者：
Kheir, Fayez [1 ]
Hamdi, Tamim [2 ]
Khayr, Walid [3 ]
Latta, Shadi [2 ]
机构：
[1] Rosalind Franklin Univ Med & Sci, Dept Med, Chicago Med Sch, Chicago, IL USA
[2] Univ Illinois, Dept Med, St Joseph Hosp, Chicago, IL USA
[3] Rosalind Franklin Univ Med & Sci, Div Infect Dis, Chicago Med Sch, Chicago, IL USA
来源：
AMERICAN JOURNAL OF THERAPEUTICS | 2011年 / 18卷 / 05期
关键词：
weight loss; dry cough; bilateral lung infiltrates; pulmonary actinomycosis; ACTINOMYCOSIS;
D O I：
10.1097/MJT.0b013e3181d10a93
中图分类号：
R9 [药学];
学科分类号：
1007 ;
摘要：
A 58-year-old man admitted for evaluation of weight loss and dry cough. Initially, he was diagnosed with community-acquired pneumonia. Despite receiving antibiotics, his clinical status deteriorated and was intubated. Fiber optic bronchoscopy revealed a significant amount of mucopurulent secretions. Bronchoalveolar lavage showed marked amount of sulfur granules identified on stain. Microbiology culture was compatible with Actinomyces israelii. Pulmonary actinomycosis is a rare but important and challenging diagnosis to make. It presents with wide spectrum of clinical and radiologic characteristics. Failure to recognize the disease early may result in drastic complications.
引用
收藏
页码：E177 / E179
页数：3
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