Clinical Retrospective Analysis of Pulmonary Actinomycosis
JIA Wei-hong
YANG Dong-cai
HOU Fei-fei
LI Nan
LU Chen-yang
WEN Hong-qing
ZHU Yan
LIUZhi-yan
PU Li-na
ZHU A-ni
GAO Yan
DANG Zhi-Guo
Abstract：Objective To investigate the clinical chracteristics, imaging findings, diagnosis and treatment methods, and prognosis of pulmonary actinomycosis, and to improve the level of clinical diagnosis and treatment.Methods The clinical and imaging data of 83 patients with pulmonary actinomycosis confirmed by pathology were searched from CNKI collected between March 1975 and December 2017 and retrospectively analyzed. Results The main clinical symptoms of all patients included cough with yellow purulent sputum. They were misdiagnosed at admission, with a misdiagnosis rate of 100％, and the duration of diagnosis was 3 d-8 years. Major misdiagnosed diseases were 39 cases of pneumonia, 32 cases of lung cancer, 20 cases of pulmonary tuberculosis. 9 cases of pleural effusion, 4 cases of lung abscess, 3 cases of bronchiectasis, and 3 cases of obstructive pneumonia. In addition, there were inflammatory pseudotumor and tuberculous pleurisy in 2 cases, as well as pulmonary nodules, atelectasis, pulmonary placeholder, metastatic carcinoma of both lungs, pulmonary suppurative inflammation, lung mass, congenital heart disease, and pulmonary mycosis in 1 case, respectively. After further perfecting medical examination, diagnosis of pulmonary actinomycosis was confirmed. Seventy-five patients were treated with antibiotics, and 8 patients underwent surgery alone. Of these, the condition of 78 patients was improved after treatment and 5 patients died. Conclusion Pulmonary actinomycosis has atypical clinical symptoms, therefore, appropriate examination methods are the key to reducing misdiagnosis.
Keywords：ActinomycosispulmonaryMisdiagnosisPneumoniaLung neoplasmsTuberculosis
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1-4 )