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Pulmonary actinomycosis
Solmaz Celebi1, Betul Sevinir, Ozlem Saraydaroglu
1Department of Pediatrics, Division of Pediatric Infectious Diseases, Bursa, Turkey. solmaz@uludag.edu.tr
Indian Journal of Pediatrics
|January 9, 2009
Summary
Pulmonary actinomycosis, a rare pediatric lung infection, was diagnosed in an 11-year-old girl. Prompt penicillin treatment led to complete lesion regression and a favorable three-year outcome.
Area of Science:
- Pulmonology
- Infectious Diseases
- Pediatric Medicine
Background:
- Pulmonary actinomycosis is an uncommon bacterial infection, particularly in children.
- Early diagnosis and treatment are crucial for favorable outcomes.
Observation:
- An 11-year-old female presented with persistent back pain and diminished breath sounds.
- Imaging revealed a solitary mass in the left upper lung lobe, initially suspicious for malignancy.
- Surgical resection allowed for definitive histological diagnosis.
Findings:
- Histopathology confirmed actinomycosis, characterized by sulfur granules and purulent exudates.
- The patient received penicillin G, demonstrating excellent therapeutic response.
- Complete resolution of pulmonary lesions was observed post-treatment.
Implications:
- This case highlights the importance of considering actinomycosis in pediatric patients with lung masses.
- Successful antibiotic therapy underscores the efficacy of penicillin for pulmonary actinomycosis.
- Long-term follow-up confirmed sustained recovery, emphasizing the curable nature of the condition.
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