Pulmonary Actinomycosis: A Rare Route for Spread of Infection.

H. Dawood*^a (Dr)

^a Rambam Health Care Campus, Haifa, ISRAEL

* hannadawood@gmail.com

Background: Pulmonary actinomycosis is a rare and challenging medical condition, generally affecting patients with poor dental hygiene, dental abscess and facial lesions. Nevertheless, patients without classic risk factors may also suffer from the disease.

Case Report: We report the case of a 70-year-old woman who presented to our unit with chronic cough, hemoptysis and right lung consolidation. In addition, she suffered from a peritoneo-cutaneous fistula following cholecystectomy due to leftover stones. Eventually, she was diagnosed with pulmonary actinomycosis.

Conclusion: Pulmonary actinomycosis should be considered in patients with chronic pulmonary consolidation without classic risk factors, such as chronic abdominal or cutaneous infection. Other fashions of infections, such as abdominal-pleural dissemination, especially when a pleural effusion is present, should be kept in mind. Treatment with intravenous penicillin followed by oral amoxicillin led to a recovery in both sites of infection.

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Disclosure of funding source(s): none