2015, Number 4
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Rev Cubana Med Gen Integr 2015; 31 (4)
Thoracic Actinomycosis
Mirabal CJ
Language: Spanish
References: 18
Page: 408-414
PDF size: 100.34 Kb.
ABSTRACT
Thoracic actinomycosis is a slowly progressing bacterial infection caused by grampositive
anaerobic or microaerophilic bacteria that colonize oropharynx and
gastrointestinal tract. Its low frequency at present and its different anatomical
locations are a diagnostic challenge for various medical specialties.
The case of a 44-year-old man with health history is presented here. This patient was
admitted at Zacapa Regional Hospital in Guatemala due to a fistula in left chest and
pneumonia in ipsilateral vertex for six months, initially it was interpreted as pulmonary tuberculosis. After further examination and studies such as chest x-rays,
smear, HIV and culture of discharge of the injury, this patient underwent a biopsy of
the lesion, showing sulfur granules and abundant granulation tissue and
Actinomyces israelii compatible cellularity.
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