Primary pulmonary botryomycosis: an important differential diagnosis for lung cancer.
This is the sixteenth reported case of pulmonary botryomycosis, an uncommon suppurative bacterial infection of the lung. We describe the case of a 69-year-old man who presented with a chronic cough and intermittent haemoptysis and on subsequent chest computed tomographic scan imaging was found to have a right lower lobe mass. He underwent a right lower lobectomy for presumed lung cancer. Histological analysis however revealed a bacterial aetiology. The past literature is reviewed outlining the pathogenesis and difficulties of clinical and radiological diagnosis. Primary pulmonary botryomycosis forms an important curative differential diagnosis for lung cancer.
Kathir
K
K
Royal North Shore Hospital, Sydney, New South Wales, Australia.
Dennis
C
C
D000189:Actinobacillus Infections / Q000175:diagnosis*; D000368:Aged; D016976:Aggregatibacter actinomycetemcomitans; D003937:Diagnosis, Differential; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis*; D008175:Lung Neoplasms / Q000175:diagnosis*; D008297:Male