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[Pulmonary actinomycosis - a case report].
Małgorzata Drozd-Werel1, Maria Porzezińska, Bogumiła Cynowska
1Klinika Pneumonologii Uniwersyteckiego Centrum Klinicznego w Gdańsku Kierownik. mwerel@gumed.edu.pl
Pneumonologia I Alergologia Polska
|June 21, 2012
Summary
Pulmonary actinomycosis, a rare lung infection, can present with non-specific symptoms, complicating diagnosis. This case highlights a severe presentation linked to poor dental hygiene, successfully treated with antibiotics.
Area of Science:
- Pulmonology
- Infectious Diseases
- Medical Microbiology
Background:
- Pulmonary actinomycosis is a rare bacterial infection caused by Actinomyces species.
- Diagnosis can be challenging due to non-specific clinical and radiological features.
Observation:
- A 59-year-old male presented with bronchopulmonary actinomycosis secondary to poor dental hygiene.
- The infection involved lung parenchyma, chest wall, sternal osteolysis, and cutaneous fistulas.
- Radiological findings mimicked a neoplastic process.
Findings:
- Histopathological examination of fistular scrapings confirmed Actinomyces colonies.
- Six months of antibiotic therapy led to clinical improvement and healing of cutaneous fistulas.
- Partial resolution of pulmonary infiltrates was observed on imaging.
Implications:
- This case underscores the importance of considering actinomycosis in the differential diagnosis of complex pulmonary infections.
- Prompt antibiotic treatment is crucial for favorable outcomes in pulmonary actinomycosis.
- Maintaining good oral hygiene may play a role in preventing invasive actinomycosis.
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