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Pulmonary lesions associated with sputum culture-positive actinomycetes: report of one case
- Source :
- Annals of Translational Medicine. 7:793-793
- Publication Year :
- 2019
- Publisher :
- AME Publishing Company, 2019.
-
Abstract
- Pulmonary actinomycosis (PA) is a rare subacute or chronic infectious disease. As simple culture of Actinomyces in BAL, as with sputum, may represent colonization, the diagnosis of PA relies on pathological examination. The preferred treatment is long-term, high-dose penicillin. A 6–12-month-course of antibacterial treatment is the rule in extended PA, although the optimal duration of treatment has not been investigated through randomized trial. In this article, we report a case presented with slowly-progressing pulmonary cavitary lesions. Actinomyces odontolyticus was detected in sputum specimen harvested by tracheoscopy. The clinical diagnosis was PA, which gradually improved with prolonged treatment of penicillin and ornidazole. This is followed by a discussion of diagnosis and treatment, especially in terms of treatment.
- Subjects :
- iMDT Corner
0301 basic medicine
medicine.medical_specialty
030106 microbiology
Gastroenterology
law.invention
Sputum culture
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
Internal medicine
Medicine
Pathological
biology
medicine.diagnostic_test
business.industry
Ornidazole
General Medicine
biology.organism_classification
Penicillin
Sputum
Anaerobic bacteria
medicine.symptom
business
030217 neurology & neurosurgery
Actinomyces
medicine.drug
Subjects
Details
- ISSN :
- 23055847 and 23055839
- Volume :
- 7
- Database :
- OpenAIRE
- Journal :
- Annals of Translational Medicine
- Accession number :
- edsair.doi.dedup.....84ec9832e7d7a3ac354dc56c1da62b1e