Actinomicose pulmonar – A propósito de um caso clínico

Marques, Anabela Salgueiro; Lopes, Nuno; Guimarães, Mafalda; Vera, José; Monteiro, Miguel Bento; Serrano, Isabel

doi:10.1016/s2173-5115(07)70333-0

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2015

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“…Risk factors includes poor dental hygiene or dental caries, pre existing structural lung disease, chronic alcoholism and cognitive delay 11,12 . Inhalation of contaminated aerosol particles or aspiration of oropharyngeal or gastrointestinal secretions, or hematogenous spread from a distant lesion is the mechanisms for pulmonary actinomycosis 13,14 . In our case the patient had a history of mandible fracture and tooth extraction two years before the onset of illness and had poor oral hygiene with severe caries, so secondary aspiration might have been the mechanism of infection.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary actinomycosis affecting chest wall: a case report

Hassan

Uddin

Ahsan

2015

Bangladesh J Med Sci

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Abstract:Thoracic actinomycosis is an uncommon, chronic suppurative bacterial infection caused by Actinomyces species. Thoracic actinomycosis represents about one-fourth of all cases of actinomycosis. We report a case of left sided pleural effusion with hydropneumothorax with collapse and consolidation of left lung with discharging sinus in the left anterior chest wall. Actinomycosis was suspected and confirmed by microscopic identification of "sulfur granules" in the discharge of the sinus tract and also identification of gram-positive filamentous bacteria in the specimen of discharging sinus.

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Section: Discussionmentioning

confidence: 99%