Insufficient initial treatment but good recovery after diagnosis of pulmonary actinomycosis

Author:

Ito Toshiki1ORCID,Yoshida Takayuki1,Sakuraba Motoki2,Tanaka Akihiko2,Hamada Kunio1,Ito Akihide1

Affiliation:

1. Division of Internal Medicine, Department of Internal Medicine, Chitose City Hospital, Chitose, Hokkaido 066-8550, Japan

2. Department of Thoracic Surgery, Sapporo City General Hospital, Sapporo, Hokkaido 060-8604, Japan

Abstract

Abstract Actinomycosis is an infrequent invasive bacterial disease. Although multiple different clinical features of actinomycosis have been described, pulmonary actinomycosis (PA) is a rare but challenging diagnosis and complete cure to make. Here we report the case of a 41-year-old Asian woman who had a mass-like consolidation in the right middle lung field. The lung lesion was exacerbated after initial treatment. After diagnosis of PA, thoracoscopic resection combined with intravenous and oral penicillin made a good recovery.

Publisher

Oxford University Press (OUP)

Subject

Cell Biology,Developmental Biology,Embryology,Anatomy

Reference8 articles.

1. Actinomycosis: etiology, clinical features, diagnosis, treatment, and management;Valour;Infect Drug Resist,2014

2. Pulmonary actinomycosis;Mabeza;Eur Respir J,2003

3. Medical management of pulmonary actinomycosis: data from 49 consecutive cases;Kolditz;J Antimicrob Chemother,2009

4. Multivariate analysis of prognostic factors in patients with pulmonary actinomycosis;Park;BMC Infect Dis,2014

5. A patient with pulmonary actinomycosis who repeatedly exacerbated after long-term antimicrobial treatment;Inoue;Ann Jpn Respir Soc,2015

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