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A 49-year-old man with hemoptysis

A 49-year-old man with hemoptysis. 8 년 전 alcoholic liver cirrhosis 로 지역 대학병원 f/u 1 년 전 coughing ,sputum 있어 지역 대학병원에서 CXR check, mass like lesion 있어 PCNA 시행 ->infalmmation 이외에 특이 소견 없어 observation 6 개월 전부터 cough, BST

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A 49-year-old man with hemoptysis

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  1. A 49-year-old man with hemoptysis • 8년 전 alcoholic liver cirrhosis로 지역 대학병원 f/u • 1년 전 coughing ,sputum 있어 지역 대학병원에서 CXR check, mass like lesion있어 PCNA 시행->infalmmation 이외에 특이 소견 없어 observation • 6개월 전부터 cough, BST • 5개월 전 본원 IM3 opd visit Chronic necrotizing pneumonia R/O Actinomycosis 진단하에 augmentin po change 하여 퇴원함 당시 PCNA>>Purulent inflammatory exudate (abscess) • 이후 본원 opd f/u 하면서 증상 호전되었으나 15일 전 cough 심해지고 intermittent fever,chill 심해짐. • 내원 전날 소주 1잔정도의 hemoptysis 있어 ER 통해 입원.

  2. A mass-like consolidation in left upper lobe

  3. A mass-like consolidation in left upper lobe

  4. Pneunonia with cavity formation containing necrotic material Bacterial colony cavity

  5. cavity Colonies of microoragnism

  6. Actinomycosis: filamentous microorganisms

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