关键词: Pericardial disease Pneumonia (respiratory medicine) TB and other respiratory infections

Mesh : Humans Male Actinomycosis / diagnostic imaging drug therapy Anti-Bacterial Agents / therapeutic use Chest Pain / etiology Pericardial Effusion / diagnostic imaging Pericardium Middle Aged

来  源:   DOI:10.1136/bcr-2023-257733   PDF(Pubmed)

Abstract:
A man in his 50s, with a history of night sweats and weight loss, presented acutely with dyspnoea and chest pain. Imaging revealed right middle lobe consolidation and a large pericardial effusion. The diagnosis of actinomycosis was made using endobronchial ultrasound-guided sampling from the pericardial effusion. An orthopantomogram demonstrated that the source was a large cavity in the left lower wisdom tooth. This tooth was extracted before the completion of his antibiotic course, and the patient made a full recovery. Cardiac actinomycosis is rare, and there are few case reports describing endobronchial ultrasound-guided sampling of pericardial fluid.
摘要:
一个50多岁的男人,有盗汗和减肥史,严重表现为呼吸困难和胸痛。影像学显示右中叶实变和大量心包积液。放线菌病的诊断是使用支气管内超声引导的心包积液采样。正像图显示来源是左下智齿中的一个大腔。这颗牙齿是在他的抗生素疗程结束前拔掉的,病人完全康复了.心脏放线菌病很罕见,很少有病例报告描述支气管内超声引导的心包液采样。
公众号