Insufficient initial treatment but good recovery after diagnosis of pulmonary actinomycosis. Issue 12 (31st December 2019)

• Record Type: Journal Article
• Authors: Ito, Toshiki; Yoshida, Takayuki; Sakuraba, Motoki; Tanaka, Akihiko; Hamada, Kunio; Ito, Akihide
• Is Part Of: Oxford medical case reports. Volume 2019:Issue 12(2019)
• Page Start: 510
• Page End: 512
• Publication Date: 2019-12-31
• Subjects: pulmonary actinomycosis -- sulfur granules -- thoracoscopic resection -- benzylpenicillin -- garenoxacin; Clinical medicine -- Case studies -- Periodicals; 616.09
• DOI: 10.1093/omcr/omz123
• Languages: English
• ISSNs: 2053-8855

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.