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 Home > Available Issues |
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 Case Reports |
| Pulmonary Actinomycosis in a Pediatric Patient |
| Se Young Kim, Ho Sung Kim, Young Yull Koh, Hoan Jong Lee |
| Departments of Pediatrics Seoul National University College of Medicine, Seoul, Korea |
Vol.27 Num.3 (p301~305)
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Pulmonary actinomycosis is a rare disease characterized by chronic suppurative granulomatous inflammation. It occurs in patients with chronic bronchitis, bronchiectasia or pulmonary emphysema by aspiration of foreign bodies or direct invasion of Actinomyces. It is confirmed histologically by the presence of sulfur granules on the biopsy specimen. We experienced a case of pulmonary actinomycosis in al 11 year-old female. She had been suffering from productive cough, blood-tinged sputum and progressive pneumonic consolidation for previous 3 years and did not respond to antibiotic therapy or anti-tuberculous medications. Percutaneous lung needle aspiration biopsy revealed pulmonary actinomycosis. She was initially managed with Na-penicillin G 300,000 unit/kg/day or clindaymycin 45 mg/kg/day for 1 month but symptom did not improve. After all she received rightpneumonectomy because of massive hemoptysis and was medicated with Na-penicillin G for 3 weeks and oral clindamycin for 3 months. She has been doing well without recurrence of actinomycosis for postoperative 2 years.
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Keywords : Pulmonary actinomycosis |
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