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At least 451 records · Page 25Linked to original sources
PubMed2005

Pulmonary actinomycosis presenting with prolonged fever and massive hemoptysis: a case report.

We present a rare case of pulmonary actinomycosis complicated with massive hemoptysis. The patient was a 41-year-old male farmer, who had experienced prolonged fever and off-and-on blood streaked sputum for 2 years. He was admitted to our hospital because of 3 days of massive hemoptysis. He had no underlying medical illnesses, but was a heavy smoker and an alcoholic. The chest radiograph revealed patchy alveolar infiltration of the right upper lobe, mimicing tuberculosis. Massive hemoptysis was not controlled using conservative treatment and anti-tuberculous drugs. Emergency right upper lobe lobectomy was needed to stop the bleeding. Histopathologic examination demonstrated aggregates of filamentous gram-positive organisms in characteristic "sulfur granules", indicating actinomycosis. The fever subsided after intravenous augmentin was given, followed by 6 months of oral amoxicillin. The patient is doing well and has had no recurrent hemoptysis.

Actinomyces↗
PubMed2006

Actinomycosis as a neglected diagnosis of mediastinal mass.

Thoracic actinomycosis is a rare disease in children. Diagnosis is typically delayed, since the presentation can be very similar to that of malignant tumors, tuberculosis, and fungal infections. We here present the case of a 9-year-old girl who was treated for tuberculosis at the first presentation, for non-Hodgkin's lymphoma at the second presentation, and for chronic granulomatous disease at the third presentation before actinomycosis was finally diagnosed by culture.

Actinomycosis↗
PubMed2006

Primary anterior abdominal wall actinomycosis.

Actinomycosis of the anterior abdominal wall is rare. We report a 50-year-old diabetic man who presented with a left hypochondrial mass of three weeks duration associated with fever. Abdominal computed tomography showed a 2 x 4 cm mass projecting from the internal abdominal wall associated with surrounding inflammation. The mass did not decrease after a week of intravenous antibiotics. Excision of the mass and primary closure of the abdominal wall were performed. The mass involved the deep muscles of anterior abdominal wall. The omentum was adherent to the parietal peritoneum underneath the mass. Microscopical examination of the mass was consistent with actinomycosis. The postoperative period was uneventful and the patient recovered completely. The patient received penicillin for six months.

Abdominal Muscles↗
PubMed2006

[Parotid gland Warthin's tumor combined with actinomycosis].

The authors describe the diagnostic problems and difficulties of treatment of Warthin's tumor combined with actinomycosis. A 48-year-old woman was presented with a mass in the left parotid region and paresis of the lower left palpebra. The CT, echography, parotid X-ray findings supposed a neoplasm of the left parotid gland which was proved by intraoperative freezing histology. The ramus of the mandible was involved in the process. Total parotidectomy and partial mandiblectomy were performed, with sacrifice of the facial nerve, followed by nerve reconstruction. The final histological evaluation was Warthin's tumor with actinomycosis. Eight years after treatment the patient is free of disease.

Actinomycosis↗
PubMedDate not supplied

Disseminated actinomycosis with multifocal muscular involvement.

We present a case of thoracic actinomycosis with hematogenous spread to the contralateral para-spinal muscles and ipsilateral lower extremity causing extensive myositis of the thigh. Aspiration secondary to chronic alcoholism and poor dentition were responsible for thoracic actinomycosis with subsequent hematogenous dissemination.

Actinomyces↗
PubMedDate not supplied

[Renal actinomycosis: presentation of a case].

Renal actinomycosis is rarely suspected and is difficult to diagnose, limited to a few cases in any series. A 56-year-old man with renal actinomycosis and Rendu-Osler disease is described. Long-term therapy with penicillin resulted in a clinical cures. A case report is presented.

Abscess↗
PubMed1991

Abdominal wall actinomycosis associated with use of an intrauterine device: a case report.

The association between pelvic actinomycosis and the use of intrauterine devices is well established. However, abdominal wall actinomycosis without clinical involvement of the pelvic organs has been reported only once in the literature. The authors present a second case, which occurred in a 24-year-old woman who was using a copper 7 intrauterine device.

Abdominal Muscles↗
PubMed1991

[Actinomycosis of the abdominal wall. Report of a case].

Actinomycosis is a chronic infectious disease, caused by an anaerobic gram positive microorganism, the actinomyces israelii. It grows by continuity toward adjacent organs, with formation of dense masses of woody tissue, producing draining abscesses and fistulae. General symptoms of this disease are fever, chills, in association with symptoms proper of each localization. The diagnosis is made when the "sulphur granules" that are characteristic of the pus of actinomycosis are found.

Abdominal Muscles↗
PubMed1991

Technetium-99m-MIBI and thallium-201 uptake in pulmonary actinomycosis.

A patient with pulmonary actinomycosis who unexpectedly showed focal uptake of technetium-99m-hexakis-2-methoxy isobutyl isonitrile and thallium-201 is presented. The appearance of the lesion on the chest radiograph and x-ray CT scan resembled a mediastinal tumor. The diagnosis of pulmonary actinomycosis was achieved by histopathologic examination of the surgically removed mass.

Actinomycosis↗
PubMed1990

[Actinomycosis of the liver].

A case of a 61-years-old man, diabetic, drinking systematically, with primary liver actinomycosis is presented. The clinical course was that of septic cholangiohepatitis leading to liver and renal failure and death of infectious-toxic shock. The diagnosis was proved at autopsy. Multiple abscess cavities were found in the liver with the characteristic destructive-infiltrative liver changes and the pathognomonic actinomycotic drusen in the pus. The rarity of the disease is pointed out and an information about the cases of abdominal actinomycosis published in Bulgaria is presented.

Actinomycosis↗
PubMed1990

[Primary pulmonary actinomycosis: the experience in a general hospital].

Although all Actinomyces species are capable of producing primary pulmonary pathology, actinomycosis is a rare entity which is infrequently diagnosed. The clinician's lack of knowledge of the disease is frequently blamed for this, and it is estimated that its incidence in our environment is greater than suspected. We present our experience consisting of four cases of primary pulmonary actinomycosis (PPA) diagnosed at La Paz Hospital from 1974 to 1988. Its particular characteristics are emphasized as well as the need to include it in the differential diagnosis of chronic pulmonary infiltrations, cavitated lesions or pulmonary masses.

Actinomycosis↗
PubMed1990

[Abdominal actinomycosis--ileo-vaginal fistula as clinical manifestation. Case report and literature review].

In 1985 sigmoid resection was performed in an 81-year-old patient with recurrent sigmoid diverticulitis. Due to adenomyosis uteri, hysterectomy was performed at the same time. Approximately one year after an uneventful recovery fetid leukorrhea occurred. Radiograms revealed a fistula between the terminal ileum and vagina. Adhesions between the terminal ileum and vaginal stump were surgically resolved and an ileum segment resection was performed. Postoperative recovery was uncomplicated and the patient has been symptom-free since. The histological findings of Actinomyces microorganisms, thread-like foreign material and detritus drew our attention to a rare instance of abdominal actinomycosis. Publications of purely historical interest dealing with therapeutic measures before the antibiotic era are not taken into consideration. The clinical picture, incidence and therapy of abdominal actinomycosis are described in the light of the literature.

Actinomyces↗
PubMed1990

[Isolated pleural actinomycosis. Apropos of 2 cases].

Two cases of isolated pleural actinomycosis are reported. This form is much less frequent than the pulmonary form, and it accounts for only 20% of thoracic actinomycoses. The bacteriological diagnosis is easily obtainable by pleural puncture, provided it has not been obscured by previous antibiotic therapy and provided the organism has systematically been cultured under anaerobic conditions. Pleural actinomycosis has a very favourable prognosis. Local treatment, sometimes surgical, is indispensable. If the condition is diagnosed at an early stage, systemic antibiotic therapy can be reduced to 6 to 12 weeks.

Actinomycosis↗
PubMed1990

Actinomycosis: an unusual complication following appendicitis.

We present a report of a case of retroperitoneal actinomycosis 3 years after appendectomy for a ruptured appendix. Actinomycosis is an unusual infectious disease that occasionally occurs after enteric perforation. The literature is reviewed, and the pathogenesis, diagnosis, and treatment are discussed.

Actinomycosis↗
PubMed1990

[Abdominal actinomycosis. Ileo-vaginal fistula as a clinical manifestation. Case report and review of the literature].

In 1985, a resection of the sigmoid colon was performed on an 81-year-old patient with recurrent and stenotic sigmoid diverticulitis. Vaginal hysterectomy was carried out at the same time for adenomycosis. After an uneventful recovery, approximately 1 year later the patient was presented with fetial leucorrhoea. Radiologically, a fistula was apparent between the terminal ileum and the vagina. Adhesions between the terminal ileum and the vaginal stump were surgically resolved and an ileum segment resection performed. Postoperative recovery was smooth and the patient has remained symptom-free since then. The histological findings of actinomyces spores, thread-like foreign material and detritus drew out attention to the rare manifestation of abdominal actinomycosis. The relevant literature was compiled as completely as possible. Not included are publications of historical interest on therapeutic measures before the antibiotic era. The clinical picture, frequency and therapy of abdominal actinomycosis are discussed on the basis of this review of the literature.

Actinomycosis↗
PubMed1987

Diagnostic methods for human actinomycosis.

Human actinomycosis is caused by Actinomyces israellii and other Actinomyces spp. together with Arachnia spp. These are common commensal bacteria which colonize many body surfaces. Infection of damaged tissues follows trauma, surgery and so on. This article outlines the techniques available for detecting these organisms and actinomycosis infection.

Actinomyces↗
PubMedDate not supplied

Curschmann's spirals and actinomycosis in a fine needle aspirate of the parotid.

Fine needle aspiration (FNA) of bilaterally enlarged submandibular salivary glands yielded both Curschmann's spirals and actinomycetes filaments in the FNA smears. Histologic study of specimens from the bilateral submandibulectomy confirmed the actinomycosis but failed to demonstrate the presence of spirals. The presence of Curschmann's spirals in FNA material is a finding not previously described in the English literature. Actinomycosis, although well documented in exfoliative cytology, has been rarely reported in fine needle aspirates. This unique case afforded the opportunity of illustrating the characteristic features of Curschmann's spirals and actinomycetes colonies, as well as reviewing the etiology and pathogenesis of Curschmann's spirals, in FNA material.

Actinomycetales↗