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Abstract:
The history of a 45 year old man is reviewed who was treated with acute exacerbations of chronic mediastinitis. During one and a half year the patient was examined in different departments of internal medicine, he underwent into surgical interventions and several histological and microbiological examinations have been done. On the third occasion the bacterium of Actinomyces Israeli proved to be the etiologic factor of the disease. Some diagnostic and therapeutic points of view of different localization of the illness are discussed.