title: [Pulmonary atinomycosis: a great clinical polymorphism].
abstract: BACKGROUND
  Pulmonary actinomycosis is a rare bacteriological disease, caracterized by local suppuration and an extensive fibroinflammatory process, with a possible pseudotumoral outcome.
  
  
  OBJECTIVE
  To report a new observation of a pulmonary actinomycosis.
  
  
  METHODS
  A 52-year-old patient, smoker, admitted in our department for infectious pneumopathy complicated by purulent pleurisy. Clinical and radiological findings were not contributive.Fiberoptic had evocate the diagnosis of bronchopulmonary cancer. Evolution had been marqued by abondant hemoptysia indicating right low lobectomie. The diagnosis of actinomycosis was obtained by the pathology of the surgical resection.
  
  
  CONCLUSIONS
  Diagnosis of pulmonary actinomycosis can be difficult because it can mimic the presentation of lung carcinoma.If the diagnosis is no late established, and if the patient is correctely treated medically, the prognosis still excellent.
authors.affiliation: Service de Pneumologie lbn Nafiss, Hôpital Abderrahmen Mami, Ariana, Tunisie.
authors.forename: Leila
authors.initials: L
authors.lastname: Fekih
authors.forename: Hajer
authors.initials: H
authors.lastname: Abdelghaffar
authors.forename: Dalenda
authors.initials: D
authors.lastname: Belhabib
authors.forename: Leila
authors.initials: L
authors.lastname: Boussoffara
authors.forename: Ines
authors.initials: I
authors.lastname: Akrout
authors.forename: Adel
authors.initials: A
authors.lastname: Marghli
authors.forename: Hela
authors.initials: H
authors.lastname: Hassène
authors.forename: Olfa
authors.initials: O
authors.lastname: Ismail
authors.forename: Sorraya
authors.initials: S
authors.lastname: Fenniche
authors.forename: Khaoula
authors.initials: K
authors.lastname: Ben Miled
authors.forename: Lamine
authors.initials: L
authors.lastname: Megdiche
mesh_terms: D000190:Actinomyces / Q000302:isolation & purification*; D000196:Actinomycosis / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000601:surgery; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D008875:Middle Aged