Pulmonary atinomycosis: a great clinical polymorphism

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Published Apr 1, 2011
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Vol. 89 No. 4 (2011): Issue Apr 2011

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Leila Fekih
Hajer Abdelghaffar
Dalenda Belhabib
Service de pneumologie Ibn Nafiss. Hôpital Abderrhmane MAMI de L'ARIANA
Leila Boussoffara
Ines Akrout
Adel Marghli
Hela Hassene
Olfa Ismail
Sorraya Fenniche
Khaoula Ben Miled
Lamine Megdiche

Abstract

Background: Pulmonary actinomycosis is a rare bacteriological disease, caracterized by local suppuration and an extensive fibroinflammatory process, with a possible pseudotumoral outcome.
Aim: To report a new observation of a pulmonary actinomycosis.
Observation: A 52-year-old patient, smoker, admitted in our department for infectious pneumopathy complicated by purulent pleurisy. Clinical and radiological findings were not contributive.Fiberoptic had evocate the diagnosis of bronchopulmonary cancer. Evolution had been marqued by abondant hemoptysia indicating right low lobectomie. The diagnosis of actinomycosis was obtained by the pathology of the surgical resection.
Conclusion: Diagnosis of pulmonary actinomycosis can be difficult because it can mimic the presentation of lung carcinoma.If the diagnosis is no late established, and if the patient is correctely treated medically, the prognosis still excellent.

Keywords:

Actinomycosis, lung, chest, anatomopathology, treatement

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