Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case with Single Cavitary Nodule in Right Upper Lung

우상부의 공동성 폐 병변

  • Choi, Jin-Won (Department of Internal Medicine, Hanyang University, College of Medicine) ;
  • Park, Ik-Soo (Department of Internal Medicine, Hanyang University, College of Medicine) ;
  • Choi, Wan-Young (Department of Internal Medicine, Hanyang University, College of Medicine) ;
  • Shin, Dong-Ho (Department of Internal Medicine, Hanyang University, College of Medicine) ;
  • Park, Sung-Soo (Department of Internal Medicine, Hanyang University, College of Medicine) ;
  • Lee, Jung-Hee (Department of Internal Medicine, Hanyang University, College of Medicine) ;
  • Jeon, Suck-Chul (Department of Radiology, Hanyang University, College of Medicine) ;
  • Park, Moon-Hyang (Department of Pathology, Hanyang University, College of Medicine) ;
  • Lee, Jung-Dal (Department of Pathology, Hanyang University, College of Medicine)
  • 최진원 (한양대학교 의과대학 내과학교실) ;
  • 박익수 (한양대학교 의과대학 내과학교실) ;
  • 최완영 (한양대학교 의과대학 내과학교실) ;
  • 신동호 (한양대학교 의과대학 내과학교실) ;
  • 박성수 (한양대학교 의과대학 내과학교실) ;
  • 이정희 (한양대학교 의과대학 내과학교실) ;
  • 전석철 (한양대학교 의과대학 방사선학교실) ;
  • 박문향 (한양대학교 의과대학 병리학교실) ;
  • 이중달 (한양대학교 의과대학 병리학교실)
  • Published : 1992.04.30
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Abstract

A 46 years old male showed radiologically a single cavitary nodular lesion in right upper lung, which extended to the regional chest wall. This finding has to be made into differential diagnosis of numerous pulmonary diseases including infections such as mycobacterial, fungal or bacterial, granulomatous diseases, and neoplasms. For the definite diagnosis, fine needle aspiration biopsy guided by biplane fluoroscopy was performed. The aspirates contained several sulfur granules, in the center of which many gram positive, filamentous organisms were compactly intermingled. Such a findings was compatible with pulmonary actinomycosis. Now the lesions is cleared out by medical treatment with amoxicillin for 3 months.

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