[Pulmonary actinomycosis - a case report].

Pneumonol Alergol Pol

Klinika Pneumonologii Uniwersyteckiego Centrum Klinicznego w Gdańsku Kierownik.

Published: November 2012

AI Article Synopsis

  • Pulmonary actinomycosis is a rare lung disease caused by the bacteria Actinomyces, making diagnosis challenging due to non-specific symptoms and imaging results.
  • A case study details a 59-year-old man whose condition stemmed from poor dental hygiene, leading to lung and chest wall infections with osteolysis and skin fistulas.
  • Diagnosis was confirmed through histopathological analysis of samples from the fistulas, showing Actinomyces, and after six months of antibiotics, the patient improved and experienced healing of skin lesions and partial lung recovery.

Article Abstract

Pulmonary actinomycosis is a rare disease caused by Actinomyces sp. Its symptoms and radiological findings are not characteristic, so the diagnosis might be difficult to establish. We report a case of a 59 year old male, who developed bronchopulmonary Actinomycosis due to poor dental hygiene. The infectious process affected lung parenchyma and infiltrated chest wall causing multifocal sternal osteolisis and multiple cutaneous fistulas. The radiological findings sugested neoplasmatical process. The diagnosis was based on histopatological findings of fistular scrapes. The material contained Actinomyces colonies. Afler 6 months of antibiotic therapy the patient's state improved and the cutaneous fistulas healed. Radiological finding revealed partial resolution of the lung infiltration.

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