Diaphragmatic mass caused by Aggregatibacter actinomycetemcomitams
A 52-year-old man was evaluated in our outpatient facility because of a thoracic mass for one month. A needle biopsy of the chest mass was performed and microbiological culture showed growth of Aggregatibacter actinomycetemcomitans. Three months after starting antimicrobial therapy, acute phase reac...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2020-01-01
|
Series: | IDCases |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250920301542 |
_version_ | 1819156059793653760 |
---|---|
author | Jose I. Martín-Serradilla Silvia Franco-Hidalgo Fernando Sánchez-Barranco Elena Laherrán-Rodríguez Maria-Teresa Hernández-Carrero |
author_facet | Jose I. Martín-Serradilla Silvia Franco-Hidalgo Fernando Sánchez-Barranco Elena Laherrán-Rodríguez Maria-Teresa Hernández-Carrero |
author_sort | Jose I. Martín-Serradilla |
collection | DOAJ |
description | A 52-year-old man was evaluated in our outpatient facility because of a thoracic mass for one month. A needle biopsy of the chest mass was performed and microbiological culture showed growth of Aggregatibacter actinomycetemcomitans. Three months after starting antimicrobial therapy, acute phase reactants normalized, and chest CT showed a progressive reduction in the size of the phlegmon. To our knowledge, we report the first case of A. actinomycetemcomitans diaphragmatic and chest wall infection without pulmonary involvement. This supports the theory of hematogenous spread of the germ from oral mucosa to produce thoracic lesions. |
first_indexed | 2024-12-22T15:46:51Z |
format | Article |
id | doaj.art-e6656ddc1d3b4dc7bb583f94a13d3bda |
institution | Directory Open Access Journal |
issn | 2214-2509 |
language | English |
last_indexed | 2024-12-22T15:46:51Z |
publishDate | 2020-01-01 |
publisher | Elsevier |
record_format | Article |
series | IDCases |
spelling | doaj.art-e6656ddc1d3b4dc7bb583f94a13d3bda2022-12-21T18:21:00ZengElsevierIDCases2214-25092020-01-0121e00846Diaphragmatic mass caused by Aggregatibacter actinomycetemcomitamsJose I. Martín-Serradilla0Silvia Franco-Hidalgo1Fernando Sánchez-Barranco2Elena Laherrán-Rodríguez3Maria-Teresa Hernández-Carrero4Corresponding author at: Unidad de Diagnóstico Rápido. Servicio de Medicina Interna., Complejo Asistencial Universitario de Palencia., Av Donantes de sangre s/n, 34005, Palencia, Spain.; Unidad de Diagnóstico Rápido, Servicio de Medicina Interna, Complejo Asistencial Universitario de Palencia, Palencia, SpainUnidad de Diagnóstico Rápido, Servicio de Medicina Interna, Complejo Asistencial Universitario de Palencia, Palencia, SpainUnidad de Diagnóstico Rápido, Servicio de Medicina Interna, Complejo Asistencial Universitario de Palencia, Palencia, SpainUnidad de Diagnóstico Rápido, Servicio de Medicina Interna, Complejo Asistencial Universitario de Palencia, Palencia, SpainUnidad de Diagnóstico Rápido, Servicio de Medicina Interna, Complejo Asistencial Universitario de Palencia, Palencia, SpainA 52-year-old man was evaluated in our outpatient facility because of a thoracic mass for one month. A needle biopsy of the chest mass was performed and microbiological culture showed growth of Aggregatibacter actinomycetemcomitans. Three months after starting antimicrobial therapy, acute phase reactants normalized, and chest CT showed a progressive reduction in the size of the phlegmon. To our knowledge, we report the first case of A. actinomycetemcomitans diaphragmatic and chest wall infection without pulmonary involvement. This supports the theory of hematogenous spread of the germ from oral mucosa to produce thoracic lesions.http://www.sciencedirect.com/science/article/pii/S2214250920301542Aggregatibacter actinomycetemcomitamsDiaphragmatic massPericardiumChest wall massPericardial thickening |
spellingShingle | Jose I. Martín-Serradilla Silvia Franco-Hidalgo Fernando Sánchez-Barranco Elena Laherrán-Rodríguez Maria-Teresa Hernández-Carrero Diaphragmatic mass caused by Aggregatibacter actinomycetemcomitams IDCases Aggregatibacter actinomycetemcomitams Diaphragmatic mass Pericardium Chest wall mass Pericardial thickening |
title | Diaphragmatic mass caused by Aggregatibacter actinomycetemcomitams |
title_full | Diaphragmatic mass caused by Aggregatibacter actinomycetemcomitams |
title_fullStr | Diaphragmatic mass caused by Aggregatibacter actinomycetemcomitams |
title_full_unstemmed | Diaphragmatic mass caused by Aggregatibacter actinomycetemcomitams |
title_short | Diaphragmatic mass caused by Aggregatibacter actinomycetemcomitams |
title_sort | diaphragmatic mass caused by aggregatibacter actinomycetemcomitams |
topic | Aggregatibacter actinomycetemcomitams Diaphragmatic mass Pericardium Chest wall mass Pericardial thickening |
url | http://www.sciencedirect.com/science/article/pii/S2214250920301542 |
work_keys_str_mv | AT joseimartinserradilla diaphragmaticmasscausedbyaggregatibacteractinomycetemcomitams AT silviafrancohidalgo diaphragmaticmasscausedbyaggregatibacteractinomycetemcomitams AT fernandosanchezbarranco diaphragmaticmasscausedbyaggregatibacteractinomycetemcomitams AT elenalaherranrodriguez diaphragmaticmasscausedbyaggregatibacteractinomycetemcomitams AT mariateresahernandezcarrero diaphragmaticmasscausedbyaggregatibacteractinomycetemcomitams |