Disseminated Actinomycosis with Unusual Cardiac Involvement: Case Report and Review

Kanna, Balavenkatesh; Soni, A

doi:10.1097/00019048-200209000-00009

Cited by 5 publications

(12 citation statements)

References 27 publications

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“…The rarity of this condition may be explained by the richly vascular parenchyma and great mobility of the upper lip, which is mechanically cleansed by saliva; therefore, bacteria cannot easily adhere to it and multiply, as in the case of the uncommon lingual actinomycosis 9 . Immune-compromised hosts, such as those with HIV infection or diabetes, and those undergoing chemotherapy or taking steroids, are not at greater risk of actinomycosis than immunocompetent hosts 15 .…”

Section: Discussionmentioning

confidence: 99%

Actinomycosis of the Upper Lip

2011

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Actinomycotic infections are known to have an association with difficulties in diagnosis and treatment. These infections usually involve the head, neck, thorax, and abdomen. Actinomycosis of the upper lip is a rare condition and an important one as well, because it can imitate other diseases. As the initial impression, it can easily be mistaken for a mucocele, venous lake, or benign neoplasm. An 82-year-old man presented with an asymptomatic normal skin colored nodule on the upper lip. Histopathologic findings showed an abscess and sulfur granules in the dermis. Gram staining results showed a mesh of branching rods. In this report, we present an unusual case of actinomycosis of the upper lip and discuss its characteristics and therapeutic modalities.

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Section: Discussionmentioning

confidence: 99%

Actinomycosis of the Upper Lip

2011

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“…Risk factors include male sex, immunosuppression of any cause, malnutrition, and poor general and oral hygiene. Infection is prevalent in farmers who work in fields with bare feet and hands, after surgical procedures ( 4 ) and so forth. “Madura foot,” described first in Madurai, India, in 1842 ( 5 ), is caused by actinomycetes in 60% of the cases (when it is termed actinomycetoma), and the remaining 40% of cases are caused by true fungi eumycetoma, in which case it is called “mycetoma” ( 6 ).…”

Section: Discussionmentioning

confidence: 99%

Disseminated Actinomycosis Presenting as Chronic Right-Heart Failure Due to Right Ventricular and Pericardial Infiltration

2020

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Actinomycosis is an indolent, slowly progressive bacterial infection prevalent in tropical countries, commonly affecting cervicofacial, thoracic, abdominal, or pelvic regions. With early diagnosis and appropriate therapy, the prognosis is excellent. However, late presentation and widespread dissemination can be fatal. This paper reports a rare case of disseminated actinomycosis with fatal cardiac involvement. ( Level of Difficulty: Intermediate. )

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“…The arrhythmia which suddenly occurred in our patient and did not recur after the penicillin therapy suggests cardiac actinomycosis, however, evidence was not obtained. Cardiac actinomycosis is very rare, and the frequency of this condition was reported as only 1.2 to 2% of all cases of actinomycosis [11,12]. Cardiac actinomycosis was first reported in 1884 [13], and to date, two comprehensive reviews about this condition have been published.…”

Section: Discussionmentioning

confidence: 99%

“Pulmonary Actinomycosis attributable to Actinomyces meyeri presenting as cardiac tamponade: a case report”

Nishizawa

Anan

Tobino

et al. 2018

Multidiscip Respir Med

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BackgroundRecently, it is reported that Actinomyces meyeri is the most common species causing actinomycosis. However, to our knowledge, there was no report about pulmonary actinomycosis attributable to A. meyeri presenting as cardiac tamponade.Case presentationHereby we describe a case of pulmonary actinomycosis attributable to A. meyeri presenting as cardiac tamponade. At first, the patient was diagnosed with bacterial pericarditis with lung abscess in the left lower lung lobe and underwent pericardial drainage. Three days after the removal of the drainage tube, atrial fibrillation followed by cardiac arrest with asystole occurred and immediate cardiopulmonary resuscitation restored his circulation. Thereafter, he underwent pneumocentesis of the lung abscess and the culture grew A. meyeri. He was successfully treated with penicillin G.ConclusionThis is the first case of pulmonary actinomycosis attributable to A. meyeri presenting as cardiac tamponade. We believe that an increased awareness of the disease is necessary to expedite diagnosis therefore minimizing morbidity and mortality.

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Disseminated Actinomycosis with Unusual Cardiac Involvement: Case Report and Review

Cited by 5 publications

References 27 publications

Actinomycosis of the Upper Lip

Actinomycosis of the Upper Lip

Disseminated Actinomycosis Presenting as Chronic Right-Heart Failure Due to Right Ventricular and Pericardial Infiltration

“Pulmonary Actinomycosis attributable to Actinomyces meyeri presenting as cardiac tamponade: a case report”

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