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Case of pulmonary actinomycosis


9),[link widoczny dla zalogowanych], one case of pulmonary actinomycosis in the ring light meaning Words】 【R】 4.42; R5l91 【D】 【Li Xian code article number 1IUL) 0-0313 (20,) 5) 0201840l cases of patients with Caesar Road. Ru, 39-year-old cough. Pan-infected blood in sputum 2 months before the patient was 2 months after the book by Li Wai cough,[link widoczny dla zalogowanych], paralysis, a sense of the right chest pain when coughing. No chills, fever, after antibiotic treatment and improved after repeated episodes of open 3 times. Physical examination: general can be. After the triangle at the left common carotid palpable lymph nodes the size of a few pieces of soybeans, some fusion, hard. Activity is poor, there is tenderness: the right superior pulmonary breath sounds weaker than the contralateral, to smell and Blake wet rales = cT examination showed the right lung f. Front was a large kitchen island density sheet. Maximum diameter of about 7.0c Ⅱ 1 × 55c black. CT value 41gHU. Without calcification,[link widoczny dla zalogowanych], the lesions outline not only the whole boundary more clearly seen in its intrinsic bronchial grams of gas. Central lesions are seen in low-density round off the t l-tung about the size of 2.1121]] × 3.2cm,[link widoczny dla zalogowanych], cT is 6.2HU enhanced scan showed lesions week ignored the fight was ring enhancement. Central low density area without enhancement + lesions adjacent pleural thickening and i Rana Parker lesions, especially in hilar and mediastinal lymph nodes. To see the bone ribs broken ring (field l, 2) CT diagnosis of pulmonary infection in the lung lesions CT guided needle lung pathology living picking actinomycosis. Actinobacillus garland disease usually discussed by the Israeli actinomycetes he caused a chronic purulent infection. Normal oral actinomycetes were present. Under certain conditions, can lead to infection within the loopholes. Shot into the lungs caused by bacteria breaking inflammatory changes. Multiple causes and multiple pyogenic granuloma formation, lung lesions, and often violation of the pleura. Pulmonary actinomycosis is usually clinical manifestations of cough, sputum, chest pain, hemoptysis. Rotary and a longer duration of clinical symptoms reported cases of a group for 2 weeks ~ l8 October. ... Chest CT manifestations of this disease have a certain characteristic: occurs in the upper lobes, and more lung tissue caused by consolidation, the disk seen in tracheal inflatable sign. If a central consolidation area demarcated low density area. Progressive scan showed increased density around the ring enhancement. Adjacent pleural thickening and smooth saddle. F】 lung, mediastinal lymph node enlargement is rare. Increased lymph node diameter and more <2m. No rib destruction, despite the swollen vessels seedlings carbuncle carcass line depends on the final diagnosis and pathological diagnosis of bacterial culture, but CT evaluation of lesions in the diagnosis and have important side effects: pulmonary actinomycosis should identify the next ① peripheral lung disease : Ao vase bamboo fish trap off lung cancer patients do ship cT saying CTi Blake off people and work. Eleven '* cases reported ring lCT scan showed right upper lobe consolidation chip away the kitchen section, the central low-density areas, see Tong Lou pigsty, close to the pleura by rhinoceros. Lesions associated with pain, imprison 2c. r enhanced scan shows mild enhancement around the glass kitchen. Low-density area without enhancement. Grams within the bronchial lesions do see gas levy. Hemoptysis more than a late stage of a weight loss and cachexia cr performance of its main mass is lobulated, Luan uneven degree of sentence, showing that calcification was fine second vacuole sign pebble cloth like body side of the dispersion or partial cancer, block boundaries blurred. Visible glitches or corona radiata, town or see around the blood vessels of tumors, bronchial butterfly record each rope, hilar mediastinal lymph l Niao hard swelling on the more common; @ infiltrative pulmonary tuberculosis pull c occur in the upper lobe and lower dorsal posterior segment. 【NIE chronic inflammatory process. Clinical manifestations and pulmonary actinomycosis is very similar to the main differential point with pulmonary tuberculosis rafter is often accompanied by calcification. Lesions with satellite lesions week ridicule and empty saddle thin wall. R】 lung may have swollen lymph nodes, calcified = not identify smear or biopsy when biopsy is necessary
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