pulmonary actinomycosis

pulmonary actinomycosis

Infectious disease An infection by Actinomyces israelii or related actinomycetes, involving chest, mouth, and pelvis, often linked to poor dental hygiene and oral abscesses; in the thoracic cavity, it causes cavities in the lung and pleural effusion, and may spread through the chest wall via sinus tract formation
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9,24) Melgarejo Moreno et al (19) described the case of a woman with diabetes who presented with a 2-month history of hoarseness and cough, and Fernandez (24) reported the case of a 30-year-old woman with an actinomycotic lesion of the vocal fold and secondary pulmonary actinomycosis.
Pulmonary actinomycosis usually results from aspiration of infected material containing actinomyces.
64) Segmental consolidations that contain low-attenuation areas with peripheral enhancement and adjacent pleural thickening suggest pulmonary actinomycosis.
Besides all these risk factors, our case suggests that epilepsy may be taken as a risk factor for pulmonary actinomycosis [2].
Thereby, the histopathologic diagnosis of pulmonary actinomycosis was achieved after diagnostic thoracotomy.
If the patient is an alcoholic or has poor oral hygiene, facial trauma, dental disease or underlying respiratory disorders such as emphysema, chronic bronchitis and bronchiectasis, then clinicians must be alert for signs of pulmonary actinomycosis.

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