A Case of Pulmonary Actinomycosis.
- Author:
Eui Young CHOI
1
;
Kwang Joo PARK
;
Hyung Jung KIM
;
Young Mo SOHN
;
Hae Kyun KIM
;
Sang Ho CHO
Author Information
1. Department of Internal Medicine,Yonsei University Medical College, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Human;
Pulmonary actinomycosis
- MeSH:
Actinomyces;
Actinomycosis*;
Biopsy;
Chest Pain;
Cough;
Diagnosis;
Fever;
Humans;
Lung;
Male;
Middle Aged;
Mouth;
Oropharynx;
Suppuration;
Tuberculosis;
Ultrasonography
- From:Korean Journal of Infectious Diseases
1997;29(1):63-66
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pulmonary actinomycosis is a chronic suppurative disease usually caused by Actinomyces israelii, characterized by suppuration, sinus tract formation, and purulent discharge containing yellowish "sulfur granules". It is usually caused by aspiration of contaminated material from mouth or oropharynx. The diagnosis of pulmonary actinomycosis is difficult and its initial clinical manifestations mimic tuberculosis or neoplasm. We experienced a case of thoracic actinomycosis in a 47-year old male patient who had complained of cough, chest pain and fever for 2 months. The diagnosis was confirmed pathologically by ultrasonography guided gun-biopsy of pleural mass and thoracoscopic wedge biopsy of parenchymal lung lesion.