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Actinomyces meyeri presenting as an asymptomatic lung mass
Mycopathologia
|February 15, 1984
Summary
A chest X-ray revealed a lung mass in a 55-year-old man. Diagnosis confirmed Actinomyces meyeri, a rare bacterial lung infection, not cancer.
Area of Science:
- Medical Microbiology
- Pulmonology
- Surgical Pathology
Background:
- Presents a case of a 55-year-old male smoker with a history of alcohol abuse.
- Patient admitted for elective herniorrhaphy with incidental finding on chest X-ray.
Observation:
- Routine chest X-ray revealed an isolated left upper lobe mass.
- Initial laboratory tests were unrevealing, raising suspicion for carcinoma.
Findings:
- Surgical specimen analysis showed a lobular mass with microabscesses.
- Microscopic examination revealed grains consistent with actinomycosis.
- Culture confirmed the presence of Actinomyces meyeri.
Implications:
- Highlights the importance of considering rare infections in lung mass differential diagnoses.
- Actinomyces meyeri can present as an isolated pulmonary mass, mimicking malignancy.
- Successful identification and treatment of rare bacterial lung infections are crucial.
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