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Thoracic actinomycosis.

B M Jensen1, S Kruse-Andersen, K Andersen

  • 1Department of Thoracic and Cardiovascular Surgery, Odense University Hospital, Denmark.

Scandinavian Journal of Thoracic and Cardiovascular Surgery
|January 1, 1989
PubMed
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Thoracic actinomycosis, a rare fungal infection, often mimics lung cancer or empyema. Early diagnosis and surgical removal combined with antibiotics offer good outcomes for this challenging condition.

Area of Science:

  • Infectious Diseases
  • Thoracic Surgery
  • Medical Microbiology

Background:

  • Thoracic actinomycosis presents diagnostic challenges, frequently mimicking other serious conditions.
  • Preoperative diagnosis is often missed, leading to delayed treatment.

Purpose of the Study:

  • To review nine cases of thoracic actinomycosis treated between 1966 and 1987.
  • To evaluate diagnostic methods and treatment outcomes for thoracic actinomycosis.

Main Methods:

  • Retrospective analysis of nine patient cases with thoracic actinomycosis.
  • Diagnosis confirmed via direct microscopy, culture of drained pus, or histological examination of resected tissue.

Main Results:

  • No cases were correctly diagnosed preoperatively.

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  • Diagnosis relied on microscopy (2 cases), culture (1 case), or histology of resected tissue.
  • Surgical intervention and antibiotic therapy led to good clinical results.

    • Conclusions:

    • Thoracic actinomycosis requires a high index of suspicion due to its varied presentation.
    • Accurate diagnosis is crucial and often achieved postoperatively.
    • Combined surgical and antibiotic treatment is effective for thoracic actinomycosis.