Actinomycose pleuro-pulmonaire expose de 4 observations. [Pleuro-pulmonary actinomycosis. Report of 4 cases]

Détails

ID Serval
serval:BIB_4C1F31DD91A4
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Actinomycose pleuro-pulmonaire expose de 4 observations. [Pleuro-pulmonary actinomycosis. Report of 4 cases]
Périodique
Schweizerische Medizinische Wochenschrift
Auteur⸱e⸱s
Cavin  R., Besson  A., Loosli  H., Leuenberger  P., Jost  A.
ISSN
0036-7672 (Print)
Statut éditorial
Publié
Date de publication
09/1980
Volume
110
Numéro
37
Pages
1328-34
Notes
Case Reports
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.
Mots-clé
Actinomyces/isolation & purification Actinomycosis/complications/*diagnosis Empyema/etiology Female Humans Lung/microbiology Lung Diseases, Fungal/*diagnosis Male Middle Aged Pleural Diseases/*diagnosis
Pubmed
Web of science
Création de la notice
25/01/2008 10:50
Dernière modification de la notice
20/08/2019 15:00
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