Abstract
Pyothorax was caused by anaerobic organisms including Actinomyces viscosus, anaerobic streptococcus species, and Bacteroides species in a 67-year-old man. Despite administration of antibiotics and continuous irrigation of the abscess cavity with a povidone iodine solution, the pyothorax was complicated by pneumonia and the patient died of sepsis caused by methicillin-resistant Staphylococcus aureus on the 44th hospital day. This case is the 10th report of thoracic Actinomyces viscosus infection in English literature.
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References
1.
Cendan
I
Klapholz
A
Talavera
W.
A cause of endobronchial disease in a patient with AIDS . Chest
1993 ;103 :1886 –7 .
2.
Ellie
DL
Goldstein
JC
Citron
DM
Ross
S.
Empyema due to Bacteroides gracilis. Case report and in vitro susceptibilities to eight antimicrobial agents . Clin Infect Dis
1993 ;16 (suppl4 ):S263–5 .
3.
Lewis
R
Gorbach
SL
. Actinomyces viscosus in man . Lancet
1972 ;1 :641 –2 .
4.
Gutschik
E.
Case report. Endocarditis caused by Actinomyces viscosus . Scand J Infect Dis
1976 ;8 :271 –4 .
5.
Radford
BL
Ryan
WJ
. Isolation of Actinomyces viscosus from two patients with clinical infections . J Clin Pathol
1977 ;30 :518 –20 .
6.
Thadepalli
H
Rao
B.
Actinomyces viscosus infections of the chest in humans . Am Rev Resp Dis
1979 ;120 :203 –6 .
7.
Eng
RHK
Corrado
ML
Cleri
D
Cherubin
C
Goldstein
EJC.
Infections caused by Actinomyces viscosus . Am Soc Clin Pathol
1981 ;75 :113 –6 .
8.
Spiegel
CA
Telford
G.
Isolation of Wolinella recta and Actinomyces viscosus from an actinomycotic chest wall mass . J Clin Microbiol
1984 ;20 :1187 –9 .