| Thoraco-pleural actinomycosis presenting like diffuse pulmonary embolism. | |
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MedLine Citation:
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PMID: 3238666 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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B Møller-Jensen; S Kruse-Andersen; K Andersen |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Thoracic and cardiovascular surgeon Volume: 36 ISSN: 0171-6425 ISO Abbreviation: Thorac Cardiovasc Surg Publication Date: 1988 Oct |
Date Detail:
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Created Date: 1989-05-05 Completed Date: 1989-05-05 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7903387 Medline TA: Thorac Cardiovasc Surg Country: GERMANY, WEST |
Other Details:
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Languages: eng Pagination: 284-6 Citation Subset: IM |
Affiliation:
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Department of Thoracic and Cardiovascular Surgery, Odense University Hospital, Denmark. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Actinomycosis
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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:
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0/Penicillins |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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