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肺主放线菌病是由口腔和消化道的一种常见菌即以色列放线菌长期作用而引起的化脓性肉芽肿病。现报道1例如下: 患者男性,53岁,因发烧、咳嗽、咯痰来院就诊。经X线检查,发现肺右上部有空洞阴影,以结核病治疗无效,反而恶化,故住院治疗。 入院后,诊断为肺化脓症(致病菌不明),并施以手术,将右肺上方拳头大小的病灶剥离、切除、插入胸腔引流管,对病灶做病理切片检查,确诊为肺放线菌病。 术后6日给以头孢塞胺唑.2g/d。第6日拔除胸腔引流管。术后第16日出现发热,体温38℃,第20日上
Pulmonary main actinomycosis is caused by the long-term role of Actinomyces marcescens caused by a common bacteria in the mouth and digestive tract of pyogenic granulomatosis. A case is reported as follows: Male patients, 53 years old, due to fever, cough, expectoration to the hospital. The X-ray examination found that there is a hole in the upper right shadow of the lungs to tuberculosis treatment is invalid, but worse, so hospitalization. After admission, the diagnosis of pulmonary suppurative disease (unknown pathogens), and surgery, the fist-sized lesions above the right lung stripped, removed, inserted into the chest drainage tube pathological examination of the lesion was diagnosed as pulmonary actinomycetes disease. Cefazolin 2 g / d was given on the 6th postoperative day. 6th day removal of chest drainage tube. On the 16th postoperative fever, body temperature 38 ℃, on the 20th