We report a case of actinomycosis presenting as a chest wall mass in a 35 year-old man. Thoracic actinomycosis poses a diagnostic challenge to clinicians not only because it is uncommon and often forgotten, but also because culture of the causative microbes is technically difficult. The classic microscopic appearance of this Gram-positive bacteria associated with surrounding sulfur granules often forms the basis of diagnosis.
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References
1.
EndoSMurayamaFYamaguchiTYamamotoSOtaniSSaitoN. Surgical considerations for pulmonary actinomycosis. Ann Thorac Surg2002; 74: 185–90.
2.
ColinoA MateosSecadesR MonteAlonsoD IbanezToscanoJ SantiagoReyR Rabunaldel CerroJL Soilan. Actinomyces as the etiology of empyema [Spanish]. Arch Bronchoneumol1995; 31: 293–5.
3.
VolkWAGebhardtBMHammarskjoldMLKadnerRJ. Actinomycetes. In: Essentials of medical microbiology, 5th edition. Philadelphia: Lippincott-Raven, 1996:474–6.
4.
CoodleyELYoshinakaR. Pleural effusion as the major manifestation of actinomycosis. Chest1994; 106: 1615–7.
5.
ShinagawaNYamaguchiETakahashiTNishimuraM. Pulmonary actinomycosis followed by pericarditis and intractable pleuritis. Intern Med2002; 41: 319–22.
6.
MachiT. Chest pain with induration of chest wall. Postgrad Med J1998; 78: 283–5.
