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Vol. 83 Br. 04 (2026)
Vol. 83 Br. 04 (2026)

Aktinomikoza pluća – dijagnostička dilema

DOI: 10.2298/VSP251104016Z
Vladan Živković
Military Medical Academy, *Clinic for Pulmonology, Belgrade, Serbia
Sanja Šarac
Military Medical Academy, *Clinic for Pulmonology, Belgrade, Serbia; University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
Svetlana Popović
Military Medical Academy, Clinic for Infectious and Tropical Diseases, Belgrade, Serbia
Miloš Zarić
Military Medical Academy, Institute of Pathology and Forensic Medicine, Belgrade, Serbia
Saša Ristić
Military Medical Academy, Institute of Pathology and Forensic Medicine, Institute of Radiology, Belgrade, Serbia
Vanja Kostovski
Military Medical Academy, Clinic for Thoracic Surgery, Belgrade, Serbia
Jasna Pešić
Military Medical Academy, Institute of Radiology, Belgrade, Serbia
Bojan Nikolić
Military Medical Academy, Institute of Radiology, Belgrade, Serbia
Bojan Rakonjac
Military Medical Academy, Institute of Microbiology, Belgrade, Serbia
Jelena Vuković
Military Medical Academy, *Clinic for Pulmonology, Belgrade, Serbia; †University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
PDF (engleski)

Objavljeno

2026-04-27

Sekcija

Prikaz bolesnika

Sažetak

Uvod. Aktinomikoza pluća je hronična zapaljenska infektivna bolest koju izaziva anaerobna i/ili mikroaerofilna bakterija iz roda Actinomyces spp. Izaziva nespecifične simptome kod bolesnika i daje atipičnu kliničku i radiografsku sliku. Veoma je retka i karakteriše je stvaranje apscesa i fistula u plućima, ili lokalna fibroza. U diferencijalnoj dijagnozi moraju se razmotriti bolesti i patološka stanja od tuberkuloze pluća do neoplastičnog procesa u plućima. Prikaz bolesnika. Predstavljamo 39-godišnjeg bolesnika sa infiltrativnom promenom u gornjem delu desnog plućnog krila i nespecifičnim simptomima. Kod ovog bolesnika, aktinomikoza je patohistološki dokazana posle hirurške intervencije. U periodu od nešto više od mesec dana, dva puta su urađene multidetektorska kompjuterizovana tomografija grudnog koša i bronhoskopija sa transbronhijalnom biopsijom i bronhijalnim brisom. U početku se nije sumnjalo na aktinomikozu pluća. Nakon atipične resekcije tumorske mase u gornjem delu desnog plućnog krila i histopatološki dokazane infekcije, bolesnik je lečen antibiotskom terapijom u trajanju od 6 meseci. Sprovedena su dalja ispitivanja da bi se potvrdila moguća primarna ili sekundarna imunodeficijencija. Zaključak. Kod bolesnika sa nespecifičnim promenama u plućnom parenhimu treba sumnjati i na aktinomikozu, a nakon dijagnoze potrebno je dopuniti ispitivanje kako bi se potvrdila ili isključila imunodeficijencija.

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DOI: 10.2298/VSP251104016Z

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