1.Uncommon pulmonary infection with recurrent hemoptysis.
Nagorni-Obradovic LJUDMILA ; Dragica PESUT ; Ruza STEVIC ; Jelena STOJSIC
Chinese Medical Journal 2007;120(24):2331-2333
Actinomycosis
;
complications
;
diagnosis
;
Hemoptysis
;
etiology
;
Humans
;
Lung Diseases
;
complications
;
diagnosis
;
Male
;
Middle Aged
;
Recurrence
2.Foreign body-induced Actinomycosis Mimicking Bronchogenic Carcinoma.
Young Shin KIM ; Ju Hyun SUH ; Seung Min KWAK ; Jeong Seon RYU ; Chul Ho CHO ; Chan Sup PARK ; Soo Kee MIN
The Korean Journal of Internal Medicine 2002;17(3):207-210
Actinomycosis is a slowly progressive infectious disease caused by an anaerobic and microaerophilic bacteria that colonizes the face, neck, lung, pleura and the ileocecal region. There have been a few cases of this disease which have involved in the lung but one very rare case has been reported. We report a case of foreign body-induced endobronchial actinomycosis mimicking bronchogenic carcinoma in a 69-year-old man. On admission, the patient presented with weight loss, cough and hemoptysis. The fiberoptic bronchoscopy revealed a soft tissue mass, with a partial occlusion of the left upper bronchus, which resembled bronchogenic carcinoma. Contrary to the first impression, the biopsy of the bronchus revealed the mass lesion to be an actinomycotic infection involving the bronchus. After the confirmation of the lesion, treatment with penicillin was initiated. The follow-up bronchoscopy revealed an aspirated fish bone at the site of infection. The foreign body was safely removed.
Actinomycosis/*diagnosis/etiology
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Aged
;
Biopsy
;
Bronchi/microbiology/pathology
;
Carcinoma, Bronchogenic/*diagnosis
;
Case Report
;
Diagnosis, Differential
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Foreign Bodies/*complications
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Human
;
Lung Neoplasms/*diagnosis
;
Male
3.Clinical Features of Abdominopelvic Actinomycosis: Report of Twenty Cases and Literature Review.
Myung Min CHOI ; Jeong Heum BEAK ; Jung Nam LEE ; Sanghui PARK ; Won Suk LEE
Yonsei Medical Journal 2009;50(4):555-559
PURPOSE: Intrabdominal actinomycosis is difficult to diagnose preoperatively. This chronic infection has a propensity to mimic many other diseases and may present with a wide variety of symptoms. The aim of this study was to evaluate the characteristic clinical features with review of the literature. MATERIALS AND METHODS: We retrospectively analyzed 22 patients with intrabdominal actinomycosis between January 2000 and January 2006. RESULTS: There were two men and 20 women with a mean age of 42.8 years (range, 24 - 69). Twelve patients presented with masses or abdominal pain, whereas 3 patients presented with acute appendicitis. The rate of performing an emergency surgery was 50% due to symptoms of peritonitis. The mean size of tumor was 5.5 cm (range, 2.5 - 11.0). Sixty percent (n = 12) of female patients had intrauterine device (IUD). The average time to definite diagnosis was 10.6 days. CONCLUSION: Intrabdominal abdominal actinomycosis must first be suspected in any women with a history of current or recent IUD use who presents abdominal pain. If recognized preoperatively, a limited surgical procedure, may spare the patient from an extensive operation.
Abdominal Pain/*etiology/microbiology
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Actinomycosis/*diagnosis/pathology
;
Adult
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Aged
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Female
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Humans
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Intrauterine Devices
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Male
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Middle Aged
;
Peritonitis/pathology/surgery
;
Young Adult
4.A case of amoxicillin-induced hepatocellular liver injury with bile-duct damage.
Ju Seung KIM ; Young Rock JANG ; Ji Won LEE ; Jin Yong KIM ; Young Kul JUNG ; Dong Hae CHUNG ; Oh Sang KWON ; Yun Soo KIM ; Duck Joo CHOI ; Ju Hyun KIM
The Korean Journal of Hepatology 2011;17(3):229-232
Amoxicillin, an antibiotic that is widely prescribed for various infections, is associated with a very low rate of drug-induced liver injury; hepatitis and cholestasis are rare complications. Here we present a case of a 39-year-old woman who was diagnosed with abdominal actinomycosis and received amoxicillin treatment. The patient displayed hepatocellular and bile-duct injury, in addition to elevated levels of liver enzymes. The patient was diagnosed with amoxicillin-induced cholestatic hepatitis. When amoxicillin was discontinued, the patient's symptoms improved and her liver enzyme levels reduced to near to the normal range.
Actinomycosis/drug therapy
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Adult
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Alanine Transaminase/blood
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Alkaline Phosphatase/blood
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Amoxicillin/*adverse effects
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Anti-Bacterial Agents/*adverse effects
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Aspartate Aminotransferases/blood
;
Cholestasis/*chemically induced
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Drug-Induced Liver Injury/*diagnosis/etiology
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Female
;
Humans
;
Liver/enzymology