Journal of Zhejiang University SCIENCE B

, Volume 8, Issue 10, pp 721–724 | Cite as

Pulmonary actinomycosis: a case undergoing resection through video-assisted thoracic surgery (VATS)

  • Lin Ming-shian 
  • Lin Wea-lung 
  • Luh Shi-ping 
  • Tsao Thomas Chang-yao 
  • Wu Tzu-ching 
Case Report

Abstract

Actinomycosis is an uncommon disease, which is usually manifested as cervicofacial infection and related to poor oral hygiene or compromised immune function. Pulmonary actinomycosis is rare, but its diagnosis is changing due to its variable presentation and the similarity in appearance to other intrapulmonary diseases. Here we report an 80-year-old man with a solitary pulmonary nodule over the left upper lobe. Pulmonary neoplasm was highly suspected in this patient and thus resection of the mass was undertaken through video-assisted thoracic surgery (VATS). Histopathological examination demonstrated this patient had an Actinomyeces infection. While the application of VATS in patients with pulmonary actinomycosis has rarely been reported in literature, we conclude that VATS is valuable for the diagnosis and treatment of patients with undetermined pulmonary nodule(s).

Key words

Pulmonary actinomycosis Video-assisted thoracic surgery (VATS) Resection 

CLC number

R445 R655 

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References

  1. Allen, H.A.III, Scatarige, J.C., Kim, M.H., 1987. Actinomycosis: CT findings in six patients. AJR, 149(6): 1255–1258.PubMedGoogle Scholar
  2. Ariel, I., Breuer, R., Kamal, N.S., Ben-Dov, I., Mogle, P., Rosenmann, E., 1991. Endobronchial actinomycosis simulating bronchogenic carcinoma: diagnosis by biopsy. Chest, 99(2):493–495.PubMedGoogle Scholar
  3. Bennhoff, D.F., 1984. Actinomycosis: diagnostic and therapeutic considerations and review of 32 cases. Laryngoscope, 94(9):1198–1217. [doi:10.1288/00005537-1984 09000-00013]PubMedCrossRefGoogle Scholar
  4. Brown, J.R., 1973. Human actinomycosis. A study of 181 subjects. Human Pathol., 4(3):319–330.Google Scholar
  5. Conant, E.F., Wechsler, R.J., 1992. Actinomycosis and nocardiosis of the lung. J. Thorac. Imaging, 7(4):75–84. [doi:10.1097/00005382-199209000-00010]PubMedCrossRefGoogle Scholar
  6. Das, D.K., 1994. Actinomycosis in fine needle aspiration cytology. Cytopathology, 5(4):243–250. [doi:10.1111/j.1365-2303.1994.tb00426.x]PubMedCrossRefGoogle Scholar
  7. Flynn, M.W., Felson, B., 1970. The roentgen manifestations of thoracic actinomycosis. AJR, 110(4):707–716.Google Scholar
  8. Heffner, J.E., 1988. Pleuropulmonary manifestations of actinomycosis and nocardiosis. Semin. Respir. Infect., 3(4): 352–361.PubMedGoogle Scholar
  9. Hoekstra, C.J., Hoekstra, O.S., Teengs, J.P., Postmus, P.E., Smit, E.F., 1999. Thoracic actinomycosis imaging with fluorine-18 fluorodeoxyglucose positron emission tomography. Clin. Nucl. Med., 24(7):529–530. [doi:10.1097/00003072-199907000-00016]PubMedCrossRefGoogle Scholar
  10. Holm, P., 1950. Studies on the aetiology of human actinomycosis. I. The “other” microbes of actinomycosis and their importance. Acta Pathol. Microbiol. Scand., 27(3):736.Google Scholar
  11. Kakuda, J., Omari, B., Renslo, R., Scott, R., Baumgartner, F., 1997. CT guided needle localization for video-thoracoscopic resection of pulmonary nodules. Eur. J. Med. Res., 2(8):340–342.PubMedGoogle Scholar
  12. Kinnear, W.J., MacFarlane, J.T., 1990. A survey of thoracic actinomycosis. Respir. Med., 84(1):57–59.PubMedGoogle Scholar
  13. Klapholz, A., Talavera, W., Rorat, E., Salsitz, E., Widrow, C., 1989. Pulmonary actinomycosis and human immunodeficiency virus infection. Mt. Sinai. J. Med., 56(4):300–303.PubMedGoogle Scholar
  14. Kobashi, Y., Yoshida, K., Miyashita, N., Niki, Y., Matsushima, T., 2004. Thoracic actinomycosis with mainly pleural involvement. J. Infect. Chemother., 10(3):172–177. [doi:10.1007/s10156-004-0310-x]PubMedCrossRefGoogle Scholar
  15. Lippes, J., 1999. Pelvic actinomycosis: a review and preliminary look at prevalence. Am. J. Obstet. Gynaecol., 180(2):265–269. [doi:10.1016/S0002-9378(99)70198-5]CrossRefGoogle Scholar
  16. Luh, S.P., Liu, H.P., 2006. Video-assisted thoracic surgery. The past, present status, and the future. J. Zhejiang Univ. Sci. B, 7(2):118–128. [doi:10.1631/jzus.2006.B0118]PubMedCrossRefGoogle Scholar
  17. Mabeza, G.F., MacFarlane, J., 2003. Pulmonary actinomycosis. Eur. Respir. J., 21(3):545–551.PubMedGoogle Scholar
  18. Miller, M., Haddad, A.J., 1998. Cervicofacial actinomycosis. Oral Surg. Oral Med. Oral Path. Oral Radiol. Endod., 85(5):496–508. [doi:10.1016/S1079-2104(98)90280-3]CrossRefGoogle Scholar
  19. Moore, W.R., Scannell, J.G., 1968. Pulmonary actinomycosis simulating cancer of the lung. J. Thorac. Cardiovasc. Surg., 55(2):193–195.PubMedGoogle Scholar
  20. Reichel, R., Wragg, P., 2007. Isolation of actinomyces hyovaginalis from a lung lesion in a pig. Vet. Rec., 10(6):203.Google Scholar
  21. Rippon, J.W., 1988. Medical Mycology. In: Wonsiewicz, M.J. (Ed.), The Pathogenic Fungi and the Pathogenic Actinomycetes, 3rd Ed. W.B. Saunders Co., Philadelphia, p.30–52.Google Scholar
  22. Russo, T.A., 1995. Agents of Actinomycosis. In: Mandell, G.L. (Ed.), Principles and Practice of Infectious Disease, 5th Ed. Churchill Livingstone, New York, p.2645–2654.Google Scholar
  23. Schaal, K.P., Lee, H., 1992. Actinomycete infections in human—a review. Gene, 115(1–2):201–211. [doi:10.1016/0378-1119(92)90560-C]PubMedCrossRefGoogle Scholar
  24. Slade, P.R., Slesser, B.V., Southgate, J., 1973. Thoracic actinomycosis. Thorax, 28(1):73–85.PubMedCrossRefGoogle Scholar
  25. Smego, R.A., Foglia, G., 1998. Actinomycosis. Clin. Infect. Dis., 26(6):1255–1261 (quiz in p.1262–1263).PubMedGoogle Scholar
  26. Weese, W.C., Smith, I.M., 1975. A study of 57 cases of actinomycosis over a 36-year period. Arch. Intern. Med., 135(12):1562–1568. [doi:10.1001/archinte.135.12.1562]PubMedCrossRefGoogle Scholar
  27. Wong, R.H., Sihoe, A.D., Thung, K.H., Wan, I.Y., Ip, M.B., Yim, A.P., 2004. Actinomycosis: an often forgotten diagnosis. Asian Cardiovasc. Thorac. Ann., 12(2):165–167.PubMedGoogle Scholar
  28. Yew, W.W., Wong, P.C., Lee, J., Fung, S.L., Wong, C.F., Chan, C.Y., 1999. Report of eight cases of pulmonary actinomycosis and their treatment with imipenemcilastatin. Monaldi. Arch. Chest. Dis., 54(2):126–129.PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Lin Ming-shian 
    • 1
  • Lin Wea-lung 
    • 2
  • Luh Shi-ping 
    • 3
  • Tsao Thomas Chang-yao 
    • 4
  • Wu Tzu-ching 
    • 4
  1. 1.Department of MedicineChia-Yi Christian HospitalTaichungChina
  2. 2.Department of PathologyChung-Shan Medical University and HospitalTaichungChina
  3. 3.Department of SurgeryChung-Shan Medical University and HospitalTaichungChina
  4. 4.Department of MedicineChung-Shan Medical University and HospitalTaichungChina

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