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Case 1
Presented by: Dr. M.Toetsch
Clinical History
A 50 year old man with anamnesis of 50 py presented for evaluation of a 7-month history of pleuritic pain in the left upper chest, fever and cough. Additionally weight loss was reported. Chest radiography showed a mass lesion of 7 cm, his laboratory work-up revealed an elevated WBC count and an ESR. Antinuclear antibody, fungal serologies and tuberculin skin test were normal or negative. Bronchoscopy and cytology were negative for malignancy. Biopsie revealed bno further information. Suspicion of a bronchial carcinoma was supported by PET-CT demonstrating a hotspot and by radiography showing increased Glucosis-metabolism. When progression of the lesion was recognized plus radial spreading, wedge resection by thoracotomy was performed.
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PULMONARY ACTINOMYCOSIS
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Actinomycosis |
3.9.2007 |
Shirin Karimi, MD |
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28.12.2007 |
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