저자들은 폐색전증과 파종성혈관내응고를 동반한 특발성 과호산구 증후군 1례를 경험하였다. 환자는 스테로이드 투여로 빠른 호전이 없어 시클로스포린을 추가하여 호전되었다.
Actinomycosis is an indolent infectious disease characterized by pyogenic response and necrosis, followed by intense fibrosis. The main forms of human actinomycosis are cervicofacial, pulmonary, and abdominopelvic type. Pulmonary actinomycosis accounts for 15% to 20% of total cases and unfortunately, clinical manifestations and radiologic findings are nonspecific. Small pleural effusion or empyema may develop in advanced disease but massive empyema is infrequent and rarely reported. We report a case of huge empyema caused by pulmonary actinomycosis in a 55 year-old man, presented with one-month history of productive cough and fever. The CT scan revealed a huge cavity with air-fluid level occupying the left hemithorax. Empyema caused by actinomycosis was confirmed microscopically by demonstration of sulfur granules in empyema sac through thracotomy. Decortication and surgical resection of empyema sac and destructed lung was accomplished and followed by intravenous infusion of penicillin G.(Tuberc Respir Dis 2004; 57:579-583)
(1998) Chapter 146. Actinomycosis and Nocardiosis, McGraw-Hill,Inc.
(1992) Empyema necessitatis:review of the manifestations of thoracic actinomycosis,
(1992) A Case of Pulmonary Actinomycosis Accompanied by Hemoptysis,
(1999) A Young Man With Two Large Lung Masses,
(1983) Primary actinomycotic empyema,
(2004) Chapter 337. Actinomycosis,
(1992) A Case of Pulmonary Actinomycosis,
(1996) Primary Endobronchial Actinomycosis,
(1998) Thoracic actinomycosis,
(2000) A Case of Endobronchial Actinomycosis,
(1946) The treatment of thoracic actinomycosis by penicillin and sulfonamide drug,
(1999) Pulmonary actinomycosis in Korea,
(1992) A case of empyema thoracis caused by actinomycosis,
(1996) Actinomyces odontolyticus Thoracopulmonary Infections.Two cases in lung and heartlung transplant recipients and a review of the literature,
(1975) A study of 57 cases of actinomycosis over a 36-year period.A diagnostic ‘failure’ with good prognosis after treatment,