Presentation of pulmonary tuberculosis and actinomyces co-infection as a lung mass: a literature review and unique case report

Balis, Evangelos; Kakavas, Sotirios; Kompogiorgas, Steven; Kotsifas, Konstantinos; Boulbasakos, George

doi:10.4081/monaldi.2019.1180

Cited by 10 publications

(7 citation statements)

References 10 publications

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“…and Haemophilus spp. are some of the most common co-pathogens encountered in pulmonary actinomycosis [5] . Our electronic literature search in the PubMed and Google Scholar databases using the search terms 'Actinomyces' or 'actinomycosis' combined with the term 'coccidioides' or 'coccidioidomycosis' failed to locate any relevant citations.…”

Section: Discussionmentioning

confidence: 99%

More than Valley Fever: Pulmonary Actinomycosis and Coccidioidomycosis Co-infection in a Patient

Asif

Roy

Ahmad

2021

European Journal of Case Reports in Internal Medicine

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Pulmonary coccidioidomycosis and pulmonary actinomycosis are unheard of as co-pathogens. Infection with these organisms on their own can mimic lung cancer, thus presenting a diagnostic challenge. We present the case of a 75-year-old woman presenting with haemoptysis with a chest CT chest finding of a lung mass suggestive of lung cancer. A diagnosis of concomitant infection by Coccidioides posadasii/immitis and Actinomyces odontolyticus was made based on culture and histopathology results. The patient was successfully treated with a combination of antifungal and antibacterial therapy. This is the first reported case of co-infection by these two microorganisms.

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Section: Discussionmentioning

confidence: 99%

More than Valley Fever: Pulmonary Actinomycosis and Coccidioidomycosis Co-infection in a Patient

Asif

Roy

Ahmad

2021

European Journal of Case Reports in Internal Medicine

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“…accompanies a malignant or benign neoplasm. Hence, proper processing of pathological samples is essential [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Abdominopelvic Actinomycosis Mimicking a Malignant Ovarian Neoplasia: Case Report and Review of Literature

Regino

Navarro

García³

et al. 2020

Cureus

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Abdominal actinomycosis is a chronic, granulomatous, and indolent disease produced by Actinomyces spp., a gram-positive filamentous bacillus, anaerobic, commensal in the oral cavity, gastrointestinal tract, and pelvic mucosa. Diagnosis is usually difficult and delayed due to its insidious presentation. It can simulate different neoplastic, inflammatory as well as infectious diseases such as tuberculosis, nocardiosis, or mycosis. In most cases, the diagnosis is made postoperatively with the histopathological report, and only 10% of them are diagnosed preoperatively. We present two cases of abdominopelvic actinomycosis simulating advanced ovarian neoplasia.

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“…While pulmonary actinomycosis can clinically mimic other pulmonary infections (e.g. nocardiosis, aspergillosis, tuberculosis) or even malignancy [24,[29][30][31][32][33], it is important to be aware that co-infections with other microorganisms creating lung masses have also been described [34][35][36][37]. Aspiration of oropharyngeal secretions or the presence of a foreign body in the bronchial tree seems to be the main cause of pulmonary actinomycosis.…”

Section: Pulmonary Actinomycosis Is An Uncommon Disease Especially In Developed Countriesmentioning

confidence: 99%

Pulmonary actinomycosis: cytomorphological features

Martínez‐Girón¹,

Pantanowitz

2021

Monaldi Arch Chest Dis

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Pulmonary actinomycosis is an uncommon infectious disease. Although the gold standard for diagnosis is histological examination with bacterial culture of lung tissue, cytology samples offer a fast and low-cost alternate diagnostic procedure. The cytology literature on this topic is limited to mostly case reports. Therefore, the aim of this study was to review cytological material in a series of patients with a diagnosis of pulmonary actinomycosis to characterize the main cytomorphological findings. Different cytological respiratory samples including sputum smears, bronchoalveolar lavages (BALs), transthoracic or endobronchial fine needle aspiration cytology (FNAC) and cell block preparations were used for retrospective examination. For all cases patient age, gender, symptoms, and radiological chest findings were recorded. A total of 26 cytological respiratory samples (14 sputum smears, 9 FNAC, two BALs) including direct smears and 6 cell blocks from 9 patients were examined. In sputum smears the most remarkable findings were the presence of dark cotton ball masses with projections like spider legs and/or mouse tails (75% of the samples). Sulfur granules were observed in 4 (40%) of the sputum smears and within FNAC cases. Various respiratory cytology samples including sputum smears, FNAC and BALs can reveal cytomorphological findings diagnostic of pulmonary actinomycosis. Characteristic cytological findings compatible with a diagnosis of this infection include cotton ball masses and less frequently sulfur granules.

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Presentation of pulmonary tuberculosis and actinomyces co-infection as a lung mass: a literature review and unique case report

Cited by 10 publications

References 10 publications

More than Valley Fever: Pulmonary Actinomycosis and Coccidioidomycosis Co-infection in a Patient

More than Valley Fever: Pulmonary Actinomycosis and Coccidioidomycosis Co-infection in a Patient

Abdominopelvic Actinomycosis Mimicking a Malignant Ovarian Neoplasia: Case Report and Review of Literature

Pulmonary actinomycosis: cytomorphological features

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