Journal Information
Vol. 13. Issue 2.
Pages 275-280 (March - April 2007)
Share
Share
Download PDF
More article options
Vol. 13. Issue 2.
Pages 275-280 (March - April 2007)
Caso Clínico / Clinical Case
Open Access
Actinomicose pulmonar – A propósito de um caso clínico
Pulmonary actinomycosis – A case report
Visits
6059
Anabela Salgueiro Marques1,
Corresponding author
anabela.s.marques@sapo.pt

Correspondência: Anabela Salgueiro Marques, Rua Ferrarias Del Rei nº 21, Moradia B4, 2730-269 Barcarena - Oeiras, Fax: 214260451.
, Nuno Lopes2, Mafalda Guimarães2, José Vera3, Miguel Monteiro4,1, Isabel Serrano5
1 Assistente Eventual de Medicina Interna
2 Interno do Internato Complementar de Medicina Interna
3 Assistente Graduado de Medicina Interna
4 Chefe de Serviço de Pneumologia, Serviço de Pneumologia, Centro Hospitalar de Cascais
5 Assistente Graduado de Anatomia Patológica
This item has received

Under a Creative Commons license
Article information
Resumo

A actinomicose pulmonar é uma situação clínica rara mas de diagnóstico importante e nem sempre fácil. Trata-se de uma infecção crónica supurativa causada por uma bactéria anaeróbia gram-positiva microfila-mentosa designada por Actinomyces.

Apresenta-se o caso clínico de um homem de 32 anos, previamente saudável, sem co-morbilidades, que de-senvolve um quadro de febre, associada a tosse produtiva e toracalgia direita.

Verificou-se a existência de alterações radiológicas sugestivas de pneumonia lobar superior direita.

Iniciou terapêutica antibiótica com amoxicilina/cla-vulanato, com melhoria clínica e analítica, contudo com persistência do achado radiológico, acabando por realizar tomografia computorizada que revelou tratar-se de condensação lobar superior direita com características discretamente expansivas.

A investigação etiológica permitiu identificar o agente responsável, o Actinomyces.

Os autores fazem uma breve revisão desta patologia.

Rev Port Pneumol 2007; XIII (2): 275-280

Palavras-chave:
Actinomicose pulmonar
Actinomyces
Abstract

Pulmonary Actinomycosis is a rare clinical situation whose diagnosis is important but not always easy to make. It is a chronic infection caused by the anaerobic gram-positive filamentous bacterium Actinomyces.

We present a case report of a 32 year-old man previously healthy with no co-morbidities, with fever, productive cough and chest pain, with radiological evidence of right superior lobar pneumonia.

He began antibiotic therapy with amoxicillin/clavula-nate, with good clinical and analytic response, but the radiological finding persisted. Thoracic computerized tomography revealed discretely expansive right lobar condensation.

The epidemiological investigation identified actinomyces. The authors present this case and a brief review of this disease.

Rev Port Pneumol 2007; XIII (2): 275-280

Key-Words:
Pulmonary actinomycosis
Actinomyces
Full text is only aviable in PDF
Bibliografia
[1.]
G. Mabeza, J. Macfarlane.
Pulmonary actinomycosis.
Eur Respir J, 21 (2003), pp. 545-551
[2.]
D.F. Bennhoff.
Actinomycosis: Diagnostic and Terapeutic considerations and a review of 32 cases.
Laryn-goscope, 94 (1984), pp. 1198-1217
[3.]
K.P. Schaal, H. Lee.
Actinomycete infections in humans – a review.
Gene, 115 (1992), pp. 201-211
[4.]
W.C. Weese, I.M. Smith.
A study of 57 cases of Actinomycosis over a 36-year period – A Diagnostic ‘failure’ with good prognosis after treatment.
Arch Intern Med, 135 (1975), pp. 1562-1568
[5.]
M.J. Hsieh, H.P. Liu, J.P. Chang, et al.
Thoracic actinomycosis.
Chest, 104 (1993), pp. 366-370
[6.]
M. Bates, G. Cruickshank.
Thoracic actinomycosis.
Thorax, 12 (1957), pp. 99-124
[7.]
M. Gomez, C. Ray, L. Allenspach, P. Kvale.
Endobronchial actinomycosis associated with a foreign body.
J Bronchol, 12 (2005), pp. 54-55
[8.]
S. Chouabe, D. Perdu, G. Deslée, D. Milosevic, E. Marque, F. Lebargy.
Endobronchial actinomycosis associated with foreign body: four cases and a review of literature.
Chest, 121 (2002), pp. 2069-2072
[9.]
J. Choi, W. Koh, T. Kim, K. Lee, J. Han, H. Kim, O. Kwon.
Optimal duration of IV and Oral antibiotics in the treatment of thoracic actinomycosis.
Chest, 128 (2005), pp. 2211-2217
[10.]
S. Endo, F. Murayama, T. Yamaguchi, et al.
Surgical considerations for pulmonary actinomycosis.
Ann Tho-rac Surg, 74 (2002), pp. 185-190
Copyright © 2007. Sociedade Portuguesa de Pneumologia/SPP
Pulmonology
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?