Pulmonary Actinomycosis Mimicking Pulmonary Aspergilloma and a Brief Review of the Literature

Higashi, Yoshitsugu; Nakamura, Shigeki; Ashizawa, Naoto; Oshima, Kazuhiro; Tanaka, Akira; Miyazaki, Taiga; Izumikawa, Koichi; Yanagihara, Katsunori; Yamamoto, Yoshihiro; Miyazaki, Yoshitsugu; Mukae, Hiroshi; Kohno, Shigeru

doi:10.2169/internalmedicine.56.7620

Cited by 19 publications

(23 citation statements)

References 26 publications

(22 reference statements)

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“…The radiologic findings of pulmonary actinomycosis can resemble a broad spectrum of lung pathologies from benign infection to metastatic tumor, which make the diagnosis of this disease difficult, even for experienced physicians (13). In fact, our case showed that chest CT scan revealed a patchy nodular shadow with cavitation in the left upper lobe and surrounding ground glass opacities.…”

Section: Discussionmentioning

confidence: 76%

A case of recurrent hemoptysis caused by pulmonary actinomycosis diagnosed using transbronchial lung biopsy after bronchial artery embolism and a brief review of the literature

Suzuki

Matsubayashi

et al. 2019

Ann. Transl. Med

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A 60-year-old man was admitted to our hospital because of massive hemoptysis with acute respiratory failure. Since six months ago, he noticed gradual worsening of hemoptysis and was transferred to our hospital. Chest computed tomography showed a nodular lesion with cavitation in the left upper lobe and surrounding ground-glass opacification. Initially, a hemostatic agent was administered, but we eventually performed bronchial artery embolization (BAE) by ourselves due to persistent hemoptysis. After achieving good hemostasis with BAE bronchoscopy was performed, which gave a diagnosis of pulmonary actinomycosis on histopathologic examination of the transbronchial biopsy specimen without the need for lung resection.

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Section: Discussionmentioning

confidence: 76%

A case of recurrent hemoptysis caused by pulmonary actinomycosis diagnosed using transbronchial lung biopsy after bronchial artery embolism and a brief review of the literature

Suzuki

Matsubayashi

et al. 2019

Ann. Transl. Med

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“…The management of pulmonary actinomycosis is based on the use of prolonged infusions of beta-lactam antibiotics, although surgical management may be required in some cases [ 27 ]. Even though therapy should be individualized, the standard management is high doses of intravenous penicillin for 2–6 weeks followed by oral therapy with penicillin V or amoxicillin for 6–12 months [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Sequestration Associated with Actinomycosis: A Case Report

et al. 2020

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Background: Bronchopulmonary sequestration is a rare congenital malformation of the lower respiratory tract; it consists of a nonfunctioning mass of lung tissue that is irrigated by an anomalous systemic artery. The association with Actinomyces superinfection has not been well established. Methods: We present the case of a 35-year-old woman with a history of recurrent episodes of pneumonia. Based on radiological and histopathological examination, she was diagnosed with intralobar bronchopulmonary sequestration associated with Actinomyces infection. Promoting clinical suspicion is essential to diagnose pulmonary actinomycosis in patients with recurrent pneumonia, to improve early recognition and timely management.

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“…Изменения в легких, выявляемые при КТ-исследовании и имитирующие аспергиллому, могут наблюдаться при других редких инфекционных заболеваниях, таких как кокцидиоидомикоз, нокардиоз, актиномикоз, эхинококковые кисты легких [41,45].…”

Section: простая одиночная аспергилломаunclassified

“…Современные публикации подтверждают, что позитронно-эмиссионная томография в сочетании с КТ с радиофармпрепаратом в диагностике хронического нодулярного аспергиллеза не является специфичным исследованием, так как аспергиллезные узлы могут активно накапливать 18 F-фтордезоксиглюкозу, что может создавать ложное представление о наличии опухоли [45,[57][58][59].…”

Section: нодулярный аспергиллезunclassified

Chronic Pulmonary Aspergillosis: Literature Review and Demonstration of Own Observations

Nikolaeva

Шадривова

Itskovich

et al. 2021

Vestn. rentgenol. radiol.

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Chronic pulmonary aspergillosis (CPA) is a severe disease that develops mainly in patients without obvious immune disorders. Computed tomography is the main instrumental method in the diagnosis of CPA, which is necessary to determine the form of the disease, to choose treatment policy, to combat complications, and to monitor therapy. This makes it important for a radiologist to understand the main aspects of timely and differential diagnosis. There are insufficient Russian studies on this problem. This paper analyzes the 2014–2020 Russian and foreign publications available in PubMed, Web of Science, Elsevier, and eLibrary electronic databases. When searching for information, the following keywords were used: “computed tomography”, “chronic pulmonary aspergillosis”, “aspergilloma”, “air-crescent symptom”, “differential diagnosis”.

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Pulmonary Actinomycosis Mimicking Pulmonary Aspergilloma and a Brief Review of the Literature

Abstract: Pulmonary actinomycosis is a rare pulmonary infection that often exhibits unspecific symptoms and radiological findings. We herein report a case of pulmonary actinomycosis that mimicked pulmonary aspergilloma in an immunocompetent patient.

Cited by 19 publications

References 26 publications

A case of recurrent hemoptysis caused by pulmonary actinomycosis diagnosed using transbronchial lung biopsy after bronchial artery embolism and a brief review of the literature

A case of recurrent hemoptysis caused by pulmonary actinomycosis diagnosed using transbronchial lung biopsy after bronchial artery embolism and a brief review of the literature

Pulmonary Sequestration Associated with Actinomycosis: A Case Report

Chronic Pulmonary Aspergillosis: Literature Review and Demonstration of Own Observations

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