Actinomyces in the mediastinum. Surprise is key in all art.
| Autor: | Severiche-Bueno DF; MD, MSc, Universidad de La Sabana, Chía, Cundinamarca, KM 7.5 Autopista Norte de Bogotá, Chía, Colombia., Ramirez SX; MD, Universidad del Rosario, Bogotá D.C, Colombia, Calle 163A # 13B - 60 Bogotá, Colombia., Vargas-Cuervo MT; MD, Universidad del Rosario, Bogotá D.C, Colombia, Cra. 7 No. 40 - 62 Bogotá, Colombia., Bueno DFS; MD, Universidad de La Sabana, Chía, Cundinamarca, KM 7.5 Autopista Norte de Bogotá, Chía, Colombia., Navarro CJ; MD, MSc, Universidad de La Sabana, Chía, Cundinamarca, Calle 163A # 13B - 85 Bogotá, Colombia., Mugnier J; MD, MSc, Fundación Cardioinfantil, Bogotá D.C, Colombia, Calle 163A # 13B - 85 Bogotá, Colombia., Rodriguez JP; MD, MSc, Fundación Neumológica Colombiana, Bogotá D.C, Colombia, Calle 163A # 13B - 85 Bogotá, Colombia. |
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| Jazyk: | angličtina |
| Zdroj: | Germs [Germs] 2022 Sep 30; Vol. 12 (3), pp. 409-413. Date of Electronic Publication: 2022 Sep 30 (Print Publication: 2022). |
| DOI: | 10.18683/germs.2022.1346 |
| Abstrakt: | Introduction: Actinomycosis is an unusual chronic granulomatous infectious disease. They are commensals in various sites of the human body but with little pathogenicity. Actinomyces israelii is the most prevalent species but more than 30 species have been described. Infection of the lower respiratory tract is unusual, the involvement of mediastinum being even rarer. Case Report: A 63-year-old man, previously healthy and living in a rural area, presented with a 5-month history of hemoptysis, pleuritic pain, weight loss, and night sweats. Community-acquired pneumonia with a mediastinal mass was documented, for which he received antibiotic management. Thoracoscopy was carried out for diagnosis and resection of the mediastinal mass due to inconclusive findings in the percutaneous biopsy. Pathology reported the presence of filamentous Gram-positive bacteria visible in Grocott staining. Due to the pathology findings, and the fact that no other infectious agents were identified, a diagnosis of actinomycosis was established. Treatment with oral amoxicillin 1g TID for 6 months was initiated. Conclusions: As far as we are aware, we present the sixth case of mediastinal actinomycosis. We present this case to bring attention to this rare but clinically relevant presentation to be considered as a differential diagnosis of mediastinal masses and to emphasize the need for specific anaerobic cultures to improve the diagnostic yield. Competing Interests: Conflicts of interest: All authors – none to declare. (GERMS.) |
| Databáze: | MEDLINE |
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