Abstract
Pulmonary consolidation, rarefaction of adjacent ribs and pleural effusion, a triad frequently considered characteristic of actinomycosis, seemed in the present case to support this serologically entertained diagnosis. However, the subsequent course of disease disclosed the most uncommon association of actinomycosis and metastatic Ewing's sarcoma of the lung. The possibility of combined occurrence of an opportunistic infection by actinomyces and malignancy, calls for open biopsy in cases not responding to penicillin treatment or with an unexpected evolution of the clinical manifestations.
References
Zimmerman LE (1955) Fatal fungus infections complicating other diseases. Am J Clin Pathol 25: 16
Hutter RVP, Collins HS (1962) The occurrence of opportunistic fungus infections in a cancer hospital. Lab Invest 11: 1035
Schuhmacher HR, Ginns DA, Warren WJ (1964) Fungus infection complicating leukemia. Am J Med Sci 247: 313
Bodey GP (1966) Fungal infections complicating acute leukemia. J Chronic Dis 19: 667
Hart PD, Russell E Jr, Remington JS (1959) The compromised host and infection. II. Deep fungal infection. J Infect Dis 120: 169
Billingham RP, Griner PF (1972) Actinomycosis in acute leukemia. NY State J Med 72: 2797
Brown JR (1973) Human actinomycosis. A study of 181 subjects. Hum Pathol 4: 319
Weese WC, Smith IM (1975) A study of 57 cases of actinomycosis over a 35-year period. Arch Intern Med 135: 1562
Holmberg K, Nord C-E, Wadström T (1975) Serological studies of Actinomyces israelii by crossed immunoelectrophoresis: Taxonomic and diagnostic applications. Infect Immun 12: 398
Bergey DH (1974) Manual of determinative bacteriology. In: Buchanan R, Gibbons N (eds) 8th edn. Williams and Wilkins, Baltimore
Frank P, Strickland B (1974) Pulmonary actinomycosis. Br J Radiol 47: 373
Thompson AJ, Carty H (1979) Pulmonary actinomycosis in children. Pediatr Radiol 8: 7
Flynn MW, Felson B (1970) The roentgen manifestations of thoracic actinomycosis. AJR 110: 707
Moore WR, Scannell JG (1968) Pulmonary actinomycosis simulating cancer of the lung. J Thorac Cardiovasc Surg 55: 192
Foley TF, Dines DE, Dolan CT (1971) Pulmonary actinomycosis. Report of 18 cases. Minn Med 54: 593
Pritzker HG, MacKay JS (1963) Pulmonary actinomycosis simulating bronchogenic carcinoma. Can Med Assoc J 88: 785
Eklöf O, Heikel P-E, Lanning P, Pasila M, Åhström L (1979) Childhood actinomycosis. Report of 5 cases. Ann Radiol 22: 217
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Björk, O., Eklöf, O. & Olsson, H. Coincidental occurrence of actinomycosis and Ewing's sarcoma in a child. Pediatr Radiol 12, 99–101 (1982). https://doi.org/10.1007/BF00972444
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DOI: https://doi.org/10.1007/BF00972444