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

We report the case of a patient with severe asthma and chronic eosinophilic pneumonia CEPwith a diagnosis of pulmonary actinomycosis.

June 27, ; Accepted date: The treatment with crystalline penicillin was modified showing improvement, was discharged and control appointments. The clinical presentation mimics tuberculosis or neoplastic processes. Pulmonary actinomycosis secondary bacteremia in a HIV-infected patient. You can change the settings or obtain more information by clicking here.

Another observation on bronchoscopy was the left segment 8 blocked by a very dense, whitish, stringy material, which was also biopsied Fig. Translators working for the Journal are in charge of the corresponding translations. The development of pulmonary actinomycosis in our patient is probably related to the fact that, although he had not been taking corticosteroids for a year, Actinomyces is slow-growing, so it had most probably been developing since then.

Please cite this article as: Fine needle aspiration, transbronchial biopsy, and computed tomography or ultrasound guided biopsies lead to accurate diagnosis. SRJ is a prestige metric based on the idea that not all citations are the same. July 01, ; Published date: Bacteriological studies of bronchial secretion did not report pathogenic bacteria and pleural fluid were negative Ziehl-Neelsen, KOH, ADA, cytopathology.


Chest X-ray revealed pulmonary infiltrates and a small left pleural effusion. J Emerg Med ; Other types of articles such as reviews, editorials, special articles, clinical reports, and letters to the Editor are also published in the Journal. Am J Roentgenol ; Actinomicosis del hueso maxilar superior.

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. J Infect Chemother ; Elsevier Churchill Livingstone, Computed tomography of the thorax, July The patient remained stable, without exacerbations and chest X-ray 2 months after admission showed resolution of the infiltrate. Pulmonary actinomycosis is mainly caused by the aspiration of these organisms from the oral cavity.

Calle 51 A y ave 5 de septiembre. Surgical considerations for pulmonary actinomycosis.

You can change the settings or obtain more information by clicking here. Guidelines for Severe Uncontrolled The patient responded well to omalizumab treatment, with no recurrence of asthma or pulmonary infiltrates, and the corticosteroids could be gradually tapered until they were discontinued. Pulmonary actinomycosis is a rare bacterial disease. Pulmonary actinomycosis with thoracic soft tissue mass: A painful and swollen right breast in a young male.

The treatment with crystalline penicillin 5 million IU IV was modified every 6 hours with Pjlmonar showing improvement of the clinical picture and without evidence of complications and was discharged with appointments for outpatient control.

Lung abscess caused by Actinomyces odontolyticus. Bronchoscopy was repeated; the same lesions observed previously were present, and biopsies were obtained once again.

Actinomicosis pulmonar Una enfermedad olvidada

Computed axial tomography of thorax, January The patient responded well to omalizumab treatment, with no recurrence of asthma or pulmonary infiltrates, and the corticosteroids could pulmnar gradually tapered until they were discontinued. Actinomycosis is an infrequent infection caused by bacteria from Actinomyces genus that manifests as a chronic, suppurative and progressive disease. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses xctinomicosis navigation customer behavior.


Chest X-ray was performed, showing a new infiltrate in the left lower lobe.

The Impact Factor measures the average number pul,onar citations received in a particular year by papers published in the journal during the two receding years. The presence of actinomicosks granules in a biopsy sample is highly suggestive of actinomycosis, but is not diagnostic because they are also seen in nocardiosis, chromomycosis, eumetoma, and botryomycosis [ 11 ]. The recommendation is to start with high intravenous doses for 4—6 weeks, followed by 6—12 months of oral treatment.

Actinomicosis pulmonar; enfisema broncógeno; plétora abdominal; espondil oartrosis.

So the diagnosis of actinomycosis was not suspected in the admission of most patients. One of the most common etiologies in the infection of this pathogen is poor oral hygiene.

Sputum culture is a low-yield procedure for diagnosis, since A. Si continua navegando, consideramos que acepta su uso.