| Title | [Three patients with thoracic actinomycosis] |
| Author(s) | Krivokuca I, de Lange DW, Lammers JW |
| Institution | Universitair Medisch Centrum Utrecht, Afd. Longziekten, Utrecht. |
| Source | Ned Tijdschr Geneeskd 2008 Apr 5; 152(14):831-7. |
| Abstract | Thoracic actinomycosis was diagnosed in 3 patients. A 39-year-old man with no relevant medical history was admitted with syncope and hemiparesis. Radiological examination of the thorax and cerebrum revealed abnormalities. The second patient was a 50-year-old man with pneumonia that had not responded to multiple courses of different antibiotics. The third patient was a 42-year-old man admitted for evaluation and treatment of hepatopulmonary abnormalities. Actinomyces was cultured from purulent material obtained under anaerobic conditions as far as possible from the first 2 patients; the third patient was diagnosed by histopathological examination. All 3 patients recovered completely after long-term antibiotic therapy. Actinomycosis remains a diagnostic challenge due to the inherent difficulties in culturing anaerobic bacteria. In addition, false-positive results are possible because Actinomyces is present in the oropharynx, digestive tract and female genital tract under normal conditions. |
| Language | dut |
| Pub Type(s) | English Abstract
Journal Article
|
| PubMed ID | 18491828 |
