Document Detail


Thoraco-pleural actinomycosis presenting like diffuse pulmonary embolism.
MedLine Citation:
PMID:  3238666     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Actinomycosis is an uncommon infection. The regions mostly involved are the cervico fascial area, the thorax and the abdomen. The thoracic variety accounts for approximately 15% of the cases. Clinical pictures of pulmonary neoplasm, abscess, and empyema have been described. Misleading symptoms often delay the right diagnosis. The present study describes a case of actinomycosis with pleuro-pulmonary involvement. A 48-year woman had been well until two and a half years previously, when she developed symptoms suggestive of pneumonia. When referred to a medical clinic with thoracic pain and tiredness, pulmonary embolism was suspected. Inhalation and perfusion scintigraphy showed several perfusion defects. There were several relapses, with clinical pictures suggestive of pulmonary embolism, before an abscess in the left axilla appeared. Drained pus showed no growth of Actinomycetes. Correct diagnosis of the true cause was only possible by direct microscopy. Possible symptoms and the diagnostic difficulties when Actinomycetes is involved are discussed.
Authors:
B Møller-Jensen; S Kruse-Andersen; K Andersen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  36     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  1988 Oct 
Date Detail:
Created Date:  1989-05-05     Completed Date:  1989-05-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  284-6     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Odense University Hospital, Denmark.
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MeSH Terms
Descriptor/Qualifier:
Actinomycosis / radiography*,  therapy
Combined Modality Therapy
Diagnosis, Differential
Drainage
Female
Humans
Lung Diseases / radiography*,  therapy
Middle Aged
Penicillins / administration & dosage
Pleural Diseases / radiography*,  therapy
Pulmonary Embolism / radiography*
Ventilation-Perfusion Ratio
Chemical
Reg. No./Substance:
0/Penicillins

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