Actinomicose pulmonar – A propósito de um caso clínico

Abstract

Pulmonary Actinomycosis is a rare clinical situation whose diagnosis is important but not always easy to make. It is a chronic infection caused by the anaerobic gram- positive filamentous bacterium Actinomyces. We present a case report of a 32 year-old man previously healthy with no co-morbidities, with fever, productive cough and chest pain, with radiological evidence of right superior lobar pneumonia. He began antibiotic therapy with amoxicillin/clavulanate, with good clinical and analytic response, but the radiological finding persisted. Thoracic computerized tomography revealed discretely expansive right lobar condensation. The epidemiological investigation identified actinomyces. The authors present this case and a brief review of this disease.

Actinomycosis affecting the spinal cord: a case report

“…It is more common in males (3:1) and in immunocompromised patients 1 . It is a chronic infection caused by gram-positive anaerobic commensal bacteria (Actinomyces) that normally colonize the oral cavity and gastrointestinal and urogenital tracts 2 . A total of 14 species have been identified, 6 of which are pathogenic to humans; the most common is Actinomyces israelii, followed by A. naeslundii, A. odontolyticus, A. viscosus, A. meyeri, and A. gerencseriae 3 .…”