Pulmonary Actinomycosis Followed by Pericarditis and Intractable Pleuritis

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Author(s)

Abstract

A case of pleuropericarditis caused by <i>Actinomyces israelli</i> 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 <i>Actinomyces israelli</i>. 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)

Journal

  • Internal Medicine

    Internal Medicine 41(4), 319-322, 2002-04

    The Japanese Society of Internal Medicine

References:  8

Cited by:  2

Codes

  • NII Article ID (NAID)
    10008354873
  • NII NACSIS-CAT ID (NCID)
    AA10827774
  • Text Lang
    ENG
  • Article Type
    Journal Article
  • ISSN
    09182918
  • NDL Article ID
    6262870
  • NDL Source Classification
    ZS21(科学技術--医学--内科学)
  • NDL Call No.
    Z53-M398
  • Data Source
    CJP  CJPref  NDL  J-STAGE 
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