27 September 2026
: Case report 
Pulmonary Actinomycosis Diagnosed via BALF mNGS in a 53-Year-Old Nonsmoking Man With Pneumoconiosis and Penicillin-Induced Thrombocytopenia: A Case Report
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Adverse events of drug therapy, Educational Purpose (only if useful for a systematic review or synthesis), Rare coexistence of disease or pathology
Xin Feng BE 1, Lin-yu Wang
CE 2, Ni-jiao Li DE 1, Ze-qiang Lin F 1, He-ming Huang F 1, Yi-ling Xie F 1, Jie Liang F 1, Lunkai Yao F 1, Xin-yi Zhuo F 1, Yan Li DF 2*, Ye Qiu AG 1
DOI: 10.12659/AJCR.953438
Am J Case Rep 2026; 27:e953438
Figure 2 Histopathologic and hematologic findings(A, B) Histopathologic examination of the surgical lung and lymph node specimens showed necrotizing granulomatous inflammation with carbon deposition and numerous macrophages containing carbon particles. (C) Changes in platelet count during the treatment course. Abbreviations: PLT, platelets; TB, tuberculosis.