title: Thoracic actinomycosis.
abstract: Thoracic actinomycosis represents about one-fourth of all cases of the disease. Isolated pleural effusion due to Actinomycosis is rare. We report a case of right sided pleural effusion with discharging sinus in the right 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. The patient improved clinically and radiologically after treatment with intravenous penicillin G followed by oral penicillin and aspiration of pleural fluid.
authors.affiliation: Department of Medicine, Mymensingh Medical College, Mymensingh. cnsarker@yahoo.com
authors.forename: C B
authors.initials: CB
authors.lastname: Sarker
authors.forename: S
authors.initials: S
authors.lastname: Rahman
authors.forename: N I
authors.initials: NI
authors.lastname: Siddiqui
authors.forename: M H
authors.initials: MH
authors.lastname: Huq
authors.forename: A K
authors.initials: AK
authors.lastname: Musa
authors.forename: S I
authors.initials: SI
authors.lastname: Talukder
authors.forename: K S
authors.initials: KS
authors.lastname: Alam
authors.forename: C R
authors.initials: CR
authors.lastname: Debnath
authors.forename: A K
authors.initials: AK
authors.lastname: Kabir
authors.forename: F M
authors.initials: FM
authors.lastname: Saleh
mesh_terms: D000196:Actinomycosis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D000328:Adult; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D008297:Male; D010406:Penicillins / Q000627:therapeutic use; D010996:Pleural Effusion / Q000209:etiology*
chemical_list: D010406:Penicillins