An African woman with pulmonary cavities: TB or not TB?
Cavitary lung lesions in patients from developing countries are mostly caused by tuberculosis (TB). However, when TB cannot be confirmed, a primary lung abscess caused by anaerobic bacteria from the mouth should be considered, especially in patients with poor dentition. We present a case of a Sudanese woman with a cavitary lung lesion and severe gingivitis. Bulleidia extructa was isolated as a single pathogen from the pulmonary cavity.
Department of Internal Medicine, Medical Spectrum Twente, Enschede, the Netherlands.
C E
CE
Delsing
C
C
Ruesen
M J
MJ
Boeree
P A
PA
van Damme
S
S
Kuipers
R
R
van Crevel
D000349:Africa; D019980:Amoxicillin-Potassium Clavulanate Combination / Q000008:administration & dosage; D001421:Bacteria, Anaerobic / Q000302:isolation & purification*; D005260:Female; D005891:Gingivitis / Q000150:complications; D006801:Humans; D008169:Lung Abscess / Q000382:microbiology; D008875:Middle Aged; D013397:Sudan / Q000208:ethnology; D014376:Tuberculosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology
D019980:Amoxicillin-Potassium Clavulanate Combination