title: Pleuropulmonary actinomycosis associated with a systemic-to-pulmonary artery fistula and contralateral metastatic back mass.
abstract: We report a case of systemic-to-pulmonary artery fistula associated with thoracic actinomycosis and with metastatic hematogenous dissemination to the soft tissues of the back. The difficulty in diagnosing thoracic actinomycosis may predispose to the increased incidence of hematogenous spread of this disease. Although resection of pulmonary tissue including the infectious mass was required in previous cases, resection of the pleural mass alone was curative in this patient when combined with penicillin therapy.
authors.affiliation: Division of Cardiothoracic Surgery, Los Angeles County Harbor/UCLA Medical Center, Torrance 90509.
authors.forename: A R
authors.initials: AR
authors.lastname: Miller
authors.forename: J M
authors.initials: JM
authors.lastname: Robertson
authors.forename: R J
authors.initials: RJ
authors.lastname: Nelson
authors.forename: C A
authors.initials: CA
authors.lastname: Castro
authors.forename: P S
authors.initials: PS
authors.lastname: Dickman
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000196:Actinomycosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000328:Adult; D001415:Back; D005402:Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008171:Lung Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D011651:Pulmonary Artery