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Related Experiment Video

Updated: Jul 6, 2025

An Intact Pericardium Ischemic Rodent Model
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Pericardial actinomycosis.

Georgia E Paterson1, Felicity J Dickens1, Judith A Hurdman2

  • 1Academic Department of Respiratory Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

BMJ Case Reports
|January 9, 2024
PubMed
Summary
This summary is machine-generated.

A rare case of cardiac actinomycosis was diagnosed using endobronchial ultrasound-guided pericardial fluid sampling. Prompt tooth extraction led to a full recovery, highlighting a unique diagnostic approach for this uncommon infection.

Keywords:
Pericardial diseasePneumonia (respiratory medicine)TB and other respiratory infections

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pulmonology

Background:

  • Actinomycosis is a rare bacterial infection.
  • Cardiac involvement is exceptionally uncommon.
  • Diagnosis can be challenging due to non-specific symptoms.

Observation:

  • A middle-aged male presented with dyspnea and chest pain.
  • Imaging showed right middle lobe consolidation and large pericardial effusion.
  • Night sweats and weight loss were notable prior symptoms.

Findings:

  • Endobronchial ultrasound-guided pericardial fluid sampling confirmed actinomycosis.
  • An orthopantomogram identified a left lower wisdom tooth cavity as the source.
  • The patient received antibiotics and underwent tooth extraction.

Implications:

  • This case highlights endobronchial ultrasound-guided sampling as a valuable diagnostic tool for pericardial effusions.
  • Early identification and source control (tooth extraction) are crucial for managing cardiac actinomycosis.
  • Further case reports are needed to understand this rare condition.