Titre
Actinomycose pleuro-pulmonaire expose de 4 observations. [Pleuro-pulmonary actinomycosis. Report of 4 cases]
Type
étude de cas
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Cavin, R.
Auteure/Auteur
Besson, A.
Auteure/Auteur
Loosli, H.
Auteure/Auteur
Leuenberger, P.
Auteure/Auteur
Jost, A.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0036-7672
Statut éditorial
Publié
Date de publication
1980-09
Volume
110
Numéro
37
Première page
1328
Dernière page/numéro d’article
34
Notes
Case Reports
English Abstract
Journal Article --- Old month value: Sep 13
English Abstract
Journal Article --- Old month value: Sep 13
Résumé
Four cases of pulmonary actinomycosis are reported. Two cases (1978, 1979) were diagnosed on microscopic examination of lung parenchyma excised on suspicion of bronchogenic carcinoma. The third case was diagnosed retrospectively by reexamining the slides of a patient operated on in 1965, who presented with a similar history and chest X-ray. The fourth was diagnosed at autopsy in a patient who committed suicide. Actinomycosis is a rare disease which affects the lung in 15--20% of cases. Despite its name, actinomycosis is not due to a fungus but to an anaerobic gram-positive bacillus. The germ is a saprophyte of the human digestive tract and is very sensitive to penicillins. It may become pathogenic in a compromised host and usually produces cervico-facial lesions which develop by continuity from mouth mucosa. Abdominal or, more rarely, pulmonary lesions are due to ingestion or inhalation of infected material. Chest X-ray appearance of pulmonary actinomycosis mimics that of bronchogenic carcinoma. Actinomyces culture is difficult, and diagnosis is often based on microscopic examination of the surgical specimen only. Antibiotic therapy is a mandatory complement to surgical treatment.
Sujets
PID Serval
serval:BIB_4C1F31DD91A4
PMID
Date de création
2008-01-25T08:50:29.246Z
Date de création dans IRIS
2025-05-20T16:05:44Z