An Unusual Cause of a Pulmonary Mass: Actinomycosis
Pawan Gupta, Vikas Dogra, Nitin Goel, Anuradha Chowdhary, S.N. Gaur
Actinomycosis, Actinomyces spp, Nocardia spp, Pulmonary mass, Malignancy
Citation Information :
Gupta P, Dogra V, Goel N, Chowdhary A, Gaur S. An Unusual Cause of a Pulmonary Mass: Actinomycosis. Indian J Chest Dis Allied Sci 2015; 57 (3):177-179.
CC BY-NC 4.0
Copyright © 2015; The Author(s).
We present the case of a 62-year-old male with chronic obstructive pulmonary disease and poorly controlled diabetes mellitus who presented with haemoptysis. A radiograph of the chest showed a right lower parahilar opacity which on the contrast enhanced computed tomography was seen to be an irregular, spiculated mass localised to the middle lobe. Considering malignancy as the most probable diagnosis, a bronchoscopic endobronchial biopsy was performed which surprisingly established pulmonary actinomycosis as the diagnosis. The patient was successfully managed with amoxicillin and clavulanic acid and glycaemic control.
Mabeza GF, MacFarlane J. Pulmonary actinomycosis. Eur Respir J 2003;21:545–51.
Mohan A, Chattopadhyay TK, Sharma SK, Dinda AK, Sharma R. Primary actinomycotic lung abscess. Postgrad Med J 1995;71:699–700.
Madhusudan KS, Gamanagatti S, Seith A, Hari S. Pulmonary infections mimicking cancer: report of four cases. Singapore Med J 2007;48:327–31.
Patel KB, Gupta G, Shah M, Patel P. Pulmonary actinomycosis in fine needle aspiration cytology. J Cytol 2009;26:94–6.
Smego RA, Foglia G. Actinomycosis. Clin Infect Dis 1998; 26:1255–61.
Weese WC, Smith IM. A study of 57 cases of actinomycosis over a 36-year period. Arch Intern Med 1975;135:1562–8.
Heffner JE. Pleuropulmonary manifestations of actinomycosis and nocardiosis. Semin Respir Infect 1988;3:352–61.
Yildiz O, Doganay M. Actinomycoses and Nocardia pulmonary infections. Curr Opin Pulm Med 2006;12:228–34.
Holm P. Studies on the aetiology of human actinomycosis. The “other” microbes of actinomycosis and their importance. Acta Pathol Microbiol Scand 1950;27:736–51.
Flynn MW, Felson B. The roentgen manifestations of thoracic actinomycosis. AJR Am J Roentgenol 1970;110:707–16.
Wong RH, Sihoe AD, Thung KH, Wan IY, Ip MB, Yim AP. Actinomycosis: an often forgotten diagnosis. Asian Cardiovasc Thorac Ann 2004;12:165–7.
Brown JR. Human actinomycosis: a study of 181 subjects. Human Pathol 1973;4:319–30.
Bassiri AG, Girgis RE, Theodore J. Actinomyces odontolyticus: two cases in lung and heart-lung transplant recipients and a review of the literature. Chest 1996;109:1109–11.
Kolditz M, Bickhardt J, Matthiessen W, Holotiuk O, Höffken G, Koschel D. Medical management of pulmonary actinomycosis: data from 49 consecutive cases. J Antimicrob Chemother 2009;63:839–41.
Song JU, Park HY, Jeon K, Um SW, Kwon OJ, Koh WJ. Treatment of thoracic actinomycosis: a retrospective analysis of 40 patients. Ann Thorac Med 2010;5:80–5.