[A case of disseminated actinomycosis which extended from the thoracic cavity].
A 74-year-old man was referred to our hospital with a high grade fever, a left abdominal tumor and bloody sputum since the beginning of April 2006. We made an incision of the abdominal tumor, and the Gram-stain smear demonstrated Gram-positive rods. Actinomycosis was diagnosed because tissue culture demonstrated Actinomyces israelii. Penicillin was administered, and his clinical features improved. It is difficult to distinguish actinomycosis from malignancy or tuberculosis, therefore actinomycosis should be considered in the differential diagnosis of a mass shadow, and it can be cured with penicillin.
Department of Respiratory Medicine, Kitakyushu Municipal Moji Hospital.
Namiko
N
Hashiguchi
Nobuko
N
Tsuruta
Shinji
S
Ise
Kazuyuki
K
Higuchi
D034841:Abdominal Cavity / Q000382:microbiology; D000196:Actinomycosis / Q000175:diagnosis* / Q000382:microbiology; D000368:Aged; D006801:Humans; D008171:Lung Diseases / Q000382:microbiology; D008297:Male