Pulmonary Actinomycosis Followed by Pericarditis and Intractable Pleuritis.

• SHINAGAWA Naofumi

  The First Department of Medicine, Hokkaido University, School of Medicine

• YAMAGUCHI Etsuro

  The First Department of Medicine, Hokkaido University, School of Medicine

• TAKAHASHI Toshiki

  The First Department of Medicine, Hokkaido University, School of Medicine

• NISHIMURA Masaharu

  The First Department of Medicine, Hokkaido University, School of Medicine

抄録

A case of pleuropericarditis caused by Actinomyces israelli is described. The patient first underwent left upper lobectomy because of pulmonary actinomycosis. Seven months later, cardiac tamponade developed. Culture of the bloody pericardial effusion resulted in positive growth of Actinomyces israelli. He was successfully treated with penicillin G, ampicillin, and minocyclin. However, right pleural effusion appeared two months later. Cultures of the effusion again yielded positive growth of the same bacteria. However, the strain had gained resistance to any antibiotics that had been effective before. Accordingly, pleurodesis with minocyclin was undertaken, which was fortunately effective for controlling the pleural effusion.<br>(Internal Medicine 41: 319-322, 2002)

収録刊行物

• Internal Medicine

  Internal Medicine 41 (4), 319-322, 2002

  一般社団法人 日本内科学会

キーワード

• <i>Actinomyces israelli</i>
• cardiac tamponade
• thoracic actinomycosis
• treatment

詳細情報

• CRID: 1390282679845384448
• NII論文ID: 10008354873
• NII書誌ID: AA10827774
• DOI: 10.2169/internalmedicine.41.319
• COI: 1:STN:280:DC%2BD383lsVCisg%3D%3D
• ISSN: 13497235
• ISSN: 09182918
• NDL書誌ID: 6262870
• PubMed: 11993795
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I6262870
• Web Site: http://www.jstage.jst.go.jp/article/internalmedicine1992/41/4/41_4_319/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2002207420
• 本文言語コード: en
• データソース種別:
  • JaLC
  • NDL
  • Crossref
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可