[Pulmonary actinomycosis - a case report].
Pulmonary actinomycosis is a rare disease caused by Actinomyces sp. Its symptoms and radiological findings are not  characteristic, so the diagnosis might be difficult to establish. We report a case of a 59 year old male, who developed  bronchopulmonary Actinomycosis due to poor dental hygiene. The infectious process affected lung parenchyma and infiltrated  chest wall causing multifocal sternal osteolisis and multiple cutaneous fistulas. The radiological findings sugested  neoplasmatical process. The diagnosis was based on histopatological findings of fistular scrapes. The material contained  Actinomyces colonies. Afler 6 months of antibiotic therapy the patient's state improved and the cutaneous fistulas healed.  Radiological finding revealed partial resolution of the lung infiltration.
Klinika Pneumonologii Uniwersyteckiego Centrum Klinicznego w Gdańsku Kierownik. mwerel@gumed.edu.pl
Małgorzata
M
Drozd-Werel
Maria
M
Porzezińska
Bogumiła
B
Cynowska
Sławomir
S
Garbicz
Krzysztof
K
Kuziemski
Jan Marek
JM
Słomiński
Ewa
E
Iżycka-Świeszewska
D000190:Actinomyces / Q000302:isolation & purification; D000196:Actinomycosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000473:pathology; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D017577:Cutaneous Fistula / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000382:microbiology* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents