Actinomicose torácica simulando doença neoplásica em Pediatria. Actinomicosis torácica simulando enfermedad neoplásica en Pediatría. Ricardo Mendes. Actinomicosis torácica como diagnóstico diferencial de neoplasia: a propósito de un caso. Thoracic actinomycosis in the differential diagnosis of neoplasm: a. Download PDF. 1 / 2 Pages. Previous article. Go back to website. Next article.

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Actinomycosis is a granulomatous, chronic, and infectious disease with characteristics of suppuration and that is produced by gram-positive bacilli of the Actinomyces strain.

Pulmonary actinomycosis with thoracic soft tissue mass: Surgical considerations for pulmonary actinomycosis. Hematogenous dissemination, in turn, is described as rare 3.

J Emerg Med ; Actinomyces are also sensitive to semi-synthetic penicillin, tetracycline, streptomycin, erythromycin, chloramphenicol, vancomycin, clindamycin, and lincomycin 35 To emphasize important features in the diagnosis and monitoring of patients with childhood cervical actinomycosis.

Patient had presented spontaneous improvement 15 days actinomicsois the onset of the lesion and had remained asymptomatic for one month. We carried out a review of the literature on cervicofacial actinomycosis of the last few years.

Actinomicosis torácica como diagnóstico diferencial de neoplasia: a propósito de un caso

The pathology presents characteristics of induration of infected tissue with a tendency to present abscedation and fistulation 2. Unusual presentation of cervicothoracic actinomycosis complicated by pericardial effusion: It has been described that the Actinomyces requires the presence of other types of bacteria in order to proliferate. Textbook of Pediatric Infections Diseases. Consequently, treatment requires high-dose, long-term antibiotic therapy 4it depends on individual clinical and radiological improvement of patients, and it should be administered intravenously for 3 to 6 weeks and orally, after hospital discharge, for 6 to 12 months 347.


Local pain and fever are the most common symptoms 2. Eur J Cardiothorac Surg ; Am J Roentgenol ; Clin Infect Dis ; Elsevier Churchill Livingstone, Ent Journal ; Subsequently, we observed remission of the node. The disease displays different clinical courses, ranging from chronic to acute actinomycosis.

Specific penicillin treatment for actinomycosis was administered for 14 days. JRS was also indicated for outpatient follow-up at the clinic for infectious diseases. The main areas of infection are the face and neck, including, also, the tongue, larynx, hypopharynx, lachrymal glands, mandible, malar region, paranasal sinuses, palate, parotid gland, lachrymal canaliculus, and periodontal abscess of the maxillae.

Maxson SJacobs RF. Following the use of antibiotic therapy, especially with penicillin, this entity has become even more rare and less lethal since it is sensitive to various antimicrobials 4.

Principles and Practice of Infectious Diseases 7th ed. Diagnosis was carried out through biopsy of a cervical node and isolation of bacteria.

[Cervicofacial actinomycosis as differential diagnosis of cavum carcinoma: case report].

Antibiotic treatment of cervicofacial actinomicosis for patients allergic to penicillin: CT findings in eight patients. In addition to antimicrobial therapy, surgical cleaning with abscess drainage and excision and curettage of devitalized tissue should be considered 7. Patient was indicated to the pediatgia of Pediatric Infectious Diseases and submitted to treatment specific for actinomycosis with administration of crystalline penicillin for 14 days.

The pefiatria of choice was amoxacillin due to its reduced cost and more suitable dosage.

Eur J Radiol ; Actinomycosis involving the chest wall: Moreover, inNichols and Herrell were the first to use penicillin in the treatment for actinomycosis 4.


Existen tres formas principales de actinomicosis: In this article we present the case of a 63 year-old man with no comorbidity, with pulmonary actinomycosis involving the chest wall mimicking a neoplastic process, basing the diagnosis on histopathologic findings.

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J Laryngol Otol ; Eur Respir J ; J Infect Chemother ; In this sense, the oral flora determines the potential of oxygen reduction that would favor the growth of this anaerobic bacterium 1247. Actinomycosis is an infrequent infection caused by bacteria from Actinomyces genus that manifests as a chronic, suppurative and progressive disease.

It spreads to other areas in contact and its primary lesion is usually located at the mandible 1 Ann Thorac Surg ; Puede ser encontrado como parte de la microbiota normal en la cavidad oral, nasofaringe y vagina 6,7.

The microorganism pediatrka classified as an intermediary between fungus and bacterium 12478. Comments The referred clinical case exemplifies the involvement of the medial-anterior cervical region by Actinomyces with late diagnosis following abscess drainage and collection of biopsy specimen.

We report the case of a patient with cervicofacial actinomycosis.

Click here to print this page. Patient sought medical assistance and was indicated to take symptomatic medication. The reduced frequency of Actinomyces infection indicates that its inoculation through oral lesion cannot be the only cause of infection.