Pulmonary Actinomycosis Diagnosed via BALF mNGS in a 53-Year-Old Nonsmoking Man With Pneumoconiosis and Penicillin-Induced Thrombocytopenia: A Case Report

Xin Feng; Lin-yu Wang; Ni-jiao Li; Ze-qiang Lin; He-ming Huang; Yi-ling Xie; Jie Liang; Lunkai Yao; Xin-yi Zhuo; Yan Li; Ye Qiu

doi:10.12659/AJCR.953438

27 September 2026 : Case report China

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

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Figure 4 Clinical timeline of diagnosis and treatmentAbbreviations: BALF, bronchoalveolar lavage fluid; CT, computed tomography; TB, tuberculosis.

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Pulmonary Actinomycosis Diagnosed via BALF mNGS in a 53-Year-Old Nonsmoking Man With Pneumoconiosis and Penicillin-Induced Thrombocytopenia: A Case Report

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