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...

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Main Authors: Jose I. Martín-Serradilla, Silvia Franco-Hidalgo, Fernando Sánchez-Barranco, Elena Laherrán-Rodríguez, Maria-Teresa Hernández-Carrero
Format: Article
Language:English
Published: Elsevier 2020-01-01
Series:IDCases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250920301542
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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.
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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
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