Actinomicosis pulmonar. Presentación de un caso

MEDISUR

Yanelka Bouza Jiménez¹  Blas Clemente Jam Morales¹  Yesenia Tartabull Veitía¹ 

[1] Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.

关键词: actinomicosis;    neumonía bacteriana;    informes de casos;   

DOI  :  

学科分类：医学（综合）

来源: Centro Provincial de Informacion de Ciencias Medicas de Cinfuegos

【 摘 要 】

Pulmonary actinomycosis is a rare bacterial disease. We present the case of a 17-year-old African patient with a history of diabetes mellitus and protein-energy malnutrition, treated by Cuban doctors collaborating in that continent. The patient presented with a submandibular abscess on the left side of the face after dental manipulation, which had extended into the upper anterior chest with a fistulous pathway, and enlarged lymph nodes in the neck. The lesion was analyzed and treated with antibiotics, but the patient did not recover and new symptoms appeared, which together with the imaging tests, suggested a pneumonic process or neoplasia. A fine-needle aspiration led to the diagnosis of pulmonary actinomycosis. Antibiotic treatment of choice was applied resulting in clinical and radiological improvement. We decided to present this case given the varied clinical presentation of this entity, which can simulate a banal infection or a neoplasm, and its rare location.

【 授权许可】

CC BY