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Órgano oficial de difusión de la Federación Mexicana de Patología Clínica, AC y de la Asociación Latinoamericana de Patología Clínica/Medicina de Laboratorio

2005, Number 4

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Rev Mex Patol Clin Med Lab 2005; 52 (4)

Actinomycosis in thorax imitating tumor

Briones-Lara E, Siller-Aguirre A, Fernández-Díaz H

Language: Spanish
References: 14
Page: 257-260
PDF size: 108.90 Kb.


ABSTRACT

Introduction: The thoracic actinomycosis is non common infection in children. More than 90% of the cases have a wrong hypothetical diagnosis, due similar appearance to tumor. We present the following case in the one which the surgical boarding according to the principles of surgical oncology with difficulty would be avoided. Case: Female of 8-year-old, she was seen with two weeks history of direct traumatism, increase in volume and pain in the left side of the chest. Physical examination showed a rounded mass in left side of the chest. A computed tomography scan showed a tumor with costal destruction. The report of the biopsy was of actinomycosis. A twelve-month course of penicillin and ampicillin effected completed cure. Conclusion: The thoracic actinomycosis in children is non common and the difficult diagnosis. It is suggested that an aspiration biopsy or transoperative biopsy that show infiltrated inflammatory rich in neutrophil, they should be accomplished an intentioned search for this agent. The treatment extended with penicillin continues being effective


REFERENCES

  1. Zeebregts C, van der Heyden A, Ligvoet E, Wagenaar J, Hoitsma H. Transphrenic dissemination of actinomycosis. Thorax 1996; 51 (4): 449-450.

  2. Poey C, Giron J, Verhaegen F, Levenes H, Gruels S, Fajadet P, Duparc B. X-ray computed tomographic and radiographic aspects of thoracic actinomycosis. J Radiol 1996; 77 (3): 177-183.

  3. Benammar S, Helardot P, Sapin E, Adamsbaum C, Raymond J. Childhood actinomycosis: report of two cases. Eur J Pediatr Surg 1995; 5 (3): 180-183.

  4. Batt J, Mullen J, Vellend H, Balter M. Thoracic actinomycosis in a patient with pulmonary involvement caused by non-Hodgkin’s lymphoma. Clin Infect Dis 1996; 22 (4): 731-732.

  5. Stanley T. Deep actinomycosis in childhood. Acta Paediatr Scand 1980; 69 (2): 173-176.

  6. Drake D, Holt R. Childhood actinomycosis. Report of 3 recent cases. Arch Dis Child 1976; 51 (12): 979-981.

  7. Sarria J, Steele R, Hull A. Chronic illness and hemoptysis associated with a chest mass. Infect Med 1997; 14 (10): 785-788.

  8. Golden N, Cohen H, Weissbrot J, Silverman S. Thoracic actinomycosis in childhood. Clin Pediatr (Phila) 1985; 24 (11): 646-650.

  9. Lee J, Rudoy R. Pediatric thoracic actinomycosis. Hawaii Med J 2003; 62 (2): 30-32

  10. Bennhoff D. Actinomycosis: Diagnostic and therapeutic considerations and review of 32 cases. Laryngoscope 1984; 94 (9): 1198-1217.

  11. Hsieh M, Liu H, Chang J, Chang C. Thoracic actinomycosis. Chest 1993; 104 (2): 366-370.

  12. Feigin R, Cherry J. Pulmonary infections due to actinomyces and nocardia and pulmonary mycosis. Textbook of pediatric infectious diseases. 2nd ed, Philadelphia: WB Saunders, 1987; 300-311.

  13. Yew W, Chau C, Wong C, Wong P, Chau C. Use of imipenem in the treatment of thoracic actinomycosis. Clin Infect Dis 1994; 19 (5): 983-984.

  14. Skoutelis A, Petrochilos J, Bassaris H. Successful treatment of thoracic actinomycosis with ceftriaxone. Clin Infect Dis 1994; 19 (1): 161-162.




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