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Massive Haemoptysis due to Obscure Aetiology: Perils and Management Dilemmas
Pulmonary actinomycosis is an important differential diagnosis in patients with long-standing pulmonary infiltrates related to poor oral hygiene or compromised immune function. Up to a quarter of cases of thoracic actinomycosis are misdiagnosed as lung malignancy. Here, we report a 56-year-old man w...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288572/ https://www.ncbi.nlm.nih.gov/pubmed/30598849 http://dx.doi.org/10.1155/2018/8159896 |
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author | Shreenivasa, A. Vishak, K. A. Sindhu, K. Sahu, Kauslya Chaithra, G. V. |
author_facet | Shreenivasa, A. Vishak, K. A. Sindhu, K. Sahu, Kauslya Chaithra, G. V. |
author_sort | Shreenivasa, A. |
collection | PubMed |
description | Pulmonary actinomycosis is an important differential diagnosis in patients with long-standing pulmonary infiltrates related to poor oral hygiene or compromised immune function. Up to a quarter of cases of thoracic actinomycosis are misdiagnosed as lung malignancy. Here, we report a 56-year-old man with a hypodense lesion in the left lower lobe presenting with recurrent massive haemoptysis for about one year. He underwent left lower lobe lobectomy due to intractable haemoptysis. Histopathological examination demonstrated actinomycosis infiltrating the left lower lobe. Rarity of the case was the presence of actinomycosis in an immunocompetent individual and without underlying preexisting lung disease. Also, intractable massive haemoptysis necessitating surgical excision which proved to be both diagnostic and curative due to actinomycosis is an unusual occurrence. |
format | Online Article Text |
id | pubmed-6288572 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-62885722018-12-31 Massive Haemoptysis due to Obscure Aetiology: Perils and Management Dilemmas Shreenivasa, A. Vishak, K. A. Sindhu, K. Sahu, Kauslya Chaithra, G. V. Case Rep Infect Dis Case Report Pulmonary actinomycosis is an important differential diagnosis in patients with long-standing pulmonary infiltrates related to poor oral hygiene or compromised immune function. Up to a quarter of cases of thoracic actinomycosis are misdiagnosed as lung malignancy. Here, we report a 56-year-old man with a hypodense lesion in the left lower lobe presenting with recurrent massive haemoptysis for about one year. He underwent left lower lobe lobectomy due to intractable haemoptysis. Histopathological examination demonstrated actinomycosis infiltrating the left lower lobe. Rarity of the case was the presence of actinomycosis in an immunocompetent individual and without underlying preexisting lung disease. Also, intractable massive haemoptysis necessitating surgical excision which proved to be both diagnostic and curative due to actinomycosis is an unusual occurrence. Hindawi 2018-11-27 /pmc/articles/PMC6288572/ /pubmed/30598849 http://dx.doi.org/10.1155/2018/8159896 Text en Copyright © 2018 A. Shreenivasa et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Shreenivasa, A. Vishak, K. A. Sindhu, K. Sahu, Kauslya Chaithra, G. V. Massive Haemoptysis due to Obscure Aetiology: Perils and Management Dilemmas |
title | Massive Haemoptysis due to Obscure Aetiology: Perils and Management Dilemmas |
title_full | Massive Haemoptysis due to Obscure Aetiology: Perils and Management Dilemmas |
title_fullStr | Massive Haemoptysis due to Obscure Aetiology: Perils and Management Dilemmas |
title_full_unstemmed | Massive Haemoptysis due to Obscure Aetiology: Perils and Management Dilemmas |
title_short | Massive Haemoptysis due to Obscure Aetiology: Perils and Management Dilemmas |
title_sort | massive haemoptysis due to obscure aetiology: perils and management dilemmas |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288572/ https://www.ncbi.nlm.nih.gov/pubmed/30598849 http://dx.doi.org/10.1155/2018/8159896 |
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