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Vol. 5. Issue 3.
Pages 341-348 (May - June 1999)
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Vol. 5. Issue 3.
Pages 341-348 (May - June 1999)
ARTIGO DE REVISÃO/REVIEW ARTICLE
Open Access
Actinomicose torácica - a propósito de 3 casos clínicos
Thoracic Actinomycosis - apropos of 3 clinical cases
Visits
...
Mok Tin-Hou1, Teresa Pinto2, Nelson Diogo3
1 Interno do Internato Complementar de Pneumologia, Serviço de Pneumologia, Centro Hospitalar de Conde S. Januário, Macau. Responsável do Serviço – Nelson Diogo (Assistente Hospitalar Graduado de Pneumologia)
2 Assistente Hospitalar de Pneumologia, Serviço de Pneumologia, Centro Hospitalar de Conde S. Januário, Macau. Responsável do Serviço – Nelson Diogo (Assistente Hospitalar Graduado de Pneumologia)
3 Assistente Hospitalar Graduado de Pneumologia, Serviço de Pneumologia, Centro Hospitalar de Conde S. Januário, Macau. Responsável do Serviço – Nelson Diogo (Assistente Hospitalar Graduado de Pneumologia)
Article information
RESUMO

A actinomicose é uma infecção bacteriana, supurativa e crónica caracterizada por multiplos abcessos, trajectos fistulosos, fibrose e tecido de granulação envolvendo a face, pescço, tórax ou abdomen devido a uma bactéria anaeróbica,gram positiva, saprófita e que só vive em cavidades. A actinomicose primária pulmonar é uma doença rara e provàvelmente resulta da aspiração de secrções da orofaringe. Sem sinais clínicos caracteristicos, pode apresentarse como uma doença respiratória crónica. Aproximadamente 90% dos doentes são submetidos a procedimentos de diagnóstico e tera-pêutica baseado numa hipótese errada. Os autores apresentam uma revisão da actinomicose torácica a propósito de três casos clínicos. Um caso era suspeito de ter um tumor pulmonar,o segundo caso foi considerado ser a recurrência de uma doença maligna e o terceiro caso apresentouse com uma forma de pneumonia recidivante após aspiração de um corpo estranbo. O diagnóstico foi confirmado através do exame histológico.

REV PORT PNEUMOL 1999; V (3): 341-348

Palavras-chave:
Actinomicose
Radiografia de tórax
Broncoscopia
Grânulos sulfurosos
Penicilina G
ABSTRACT

Actinomycosis is a chronic, suppurative bacterial infection characterized by multiple abscesses, sinus tracts, fibrosis, and granulation involving the face, neck, thorax and abdomen due to an anaerobic gram positive commensal bacteria, harbored in the healthy cavities. Primary actinomycosis of the lung is a rare disease and probably results from aspiration of oropharyngeal secretions. Without characteristic clinical signs, may present as chronic respiratory, disease with abnormality of radiography. Approximately 90% of patients have undergone diagnostic and therapeutics procedures based on a wrong diagnostic hypothesis. The authors present a comprehensive review of thoracic actinomycosis apropos of three clinical cases. One case was suspected as lung tumor, the second case was consider as recurrence of lung malignancy, and the third case present as recurrent pneumonia after foreign body aspiration in airway. Final diagnosis was confirmed by histology examination.

REV PORT PNEUMOL 1999; V (3): 341-348

Key-words:
Actinomycosis
Thoracic radiography
Bronchoscopy sulfur granules
Penicillin G
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Copyright © 1999. Sociedade Portuguesa de Pneumologia/SPP
Pulmonology

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