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Pulmonary Actinomycosis: A Diagnostic Challenge

dc.contributor.authorFerreira, Marli
dc.contributor.authorFerreira, Luís
dc.contributor.authorAmorim Pereira, Inês
dc.contributor.authorSantos Silva, André
dc.contributor.authorHenriques Ferreira, Inês
dc.date.accessioned2024-06-18T09:41:46Z
dc.date.available2024-06-18T09:41:46Z
dc.date.issued2023-02
dc.description.abstractPulmonary actinomycosis is an uncommon and challenging infectious disease with non-specific symptoms and imaging findings. The authors report a case of a 68-year-old man with diabetes and a history of past smoking who presented with anorexia and weight loss with no significant findings on physical examination. A parenchymal consolidation in the anterior segment of the right upper lobe was detected after a chest computed tomography (CT). Bacterial colonies of Actinomyces species were identified in the histology of transbronchial biopsy. Imaging reassessment after six weeks of treatment with oral amoxicillin showed progression with a high metabolism 10.5 standardized uptake value (SUV) documented on the f-fluorodeoxyglucose positron emission tomography/CT. Concern about the possibility of lung cancer was raised and ruled out by a negative transthoracic needle biopsy. The diagnosis of pulmonary actinomycosis with pyogenic superinfection was presumed. The patient was successfully treated with intravenous amoxicillin and clavulanate for two weeks, followed by six months of oral treatmentpt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFerreira M, Ferreira L, Amorim Pereira I, Santos Silva A, Henriques Ferreira I. Pulmonary Actinomycosis: A Diagnostic Challenge. Cureus. 2023;15(2):e35118. doi:10.7759/cureus.35118pt_PT
dc.identifier.doi10.7759/cureus.35118pt_PT
dc.identifier.issn2168-8184
dc.identifier.urihttp://hdl.handle.net/10400.16/2950
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCureus, Inc.pt_PT
dc.relation.publisherversionhttps://www.cureus.com/articles/136262-pulmonary-actinomycosis-a-diagnostic-challenge#!/pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectactinomyces speciespt_PT
dc.subjectdiagnosispt_PT
dc.subjectlung cancerpt_PT
dc.subjectpulmonary actinomycosispt_PT
dc.subjectpulmonary tuberculosispt_PT
dc.titlePulmonary Actinomycosis: A Diagnostic Challengept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited States of Americapt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPagee35118.pt_PT
oaire.citation.titleCureuspt_PT
oaire.citation.volume15pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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