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Actinomyces israelii: a rare cause of thoracic empyema
Athanassios Kleontas1, Christos Asteriou, Andreas Efstathiou
1Department of Chest Surgery, Theagenio Hospital, Thessaloniki, Greece.
Abstract:
Actinomyces israelii usually causes chronic suppurative and granulomatous infections. Isolated pleural effusion due to Actinomycosis is rare. This report describes an unusual case of thoracic empyema caused by A. israelii with sudden onset and rapid deterioration that failed to respond to chest tube drainage and antibiotherapy. Empyema drainage and visceral parietal pleurectomy by a left postolateral thoracotomy proved to be of vital importance and a permanent solution.
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