title: Disseminated actinomycosis with multifocal muscular involvement.
abstract: We present a case of thoracic actinomycosis with hematogenous spread to the contralateral para-spinal muscles and ipsilateral lower extremity causing extensive myositis of the thigh. Aspiration secondary to chronic alcoholism and poor dentition were responsible for thoracic actinomycosis with subsequent hematogenous dissemination.
authors.affiliation: Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, USA.
authors.forename: Sakeer
authors.initials: S
authors.lastname: Hussain
authors.forename: Adrian
authors.initials: A
authors.lastname: Sequeira
authors.forename: Anil
authors.initials: A
authors.lastname: Malik
authors.forename: Jian
authors.initials: J
authors.lastname: Huang
mesh_terms: D000190:Actinomyces / Q000302:isolation & purification; D000196:Actinomycosis / Q000175:diagnosis* / Q000188:drug therapy; D000328:Adult; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D009220:Myositis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D013848:Thigh / Q000382:microbiology*