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An African woman with pulmonary cavities: TB or not TB?
C E Delsing1, C Ruesen, M J Boeree
1Department of Internal Medicine, Medical Spectrum Twente, Enschede, the Netherlands.
Abstract:
Cavitary lung lesions in patients from developing countries are mostly caused by tuberculosis (TB). However, when TB cannot be confirmed, a primary lung abscess caused by anaerobic bacteria from the mouth should be considered, especially in patients with poor dentition. We present a case of a Sudanese woman with a cavitary lung lesion and severe gingivitis. Bulleidia extructa was isolated as a single pathogen from the pulmonary cavity.
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