Revista Biomédica Revisada Por Pares
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Palabras clave: empyema, hemoptysis, actinomycosis, pediatrics, Peru
Introduction
Actinomycosis is a rare infectious disease caused by Gram-positive bacteria. The most common species is Actinomyces israelii. Among its forms of presentation, the thoracic is the least frequent.
Case presentation
We report two patients with thoracic actinomycosis, 8 and 13 years old, from different geographical areas of Peru. The first case had empyema necessitans and the second, lung consolidation and recurrent hemoptysis. Both had a certain degree of difficulty in their diagnosis but responded favorably to antibiotics and surgical treatment. The diagnosis was based on the histopathological study. However, we were not able to ascertain the species of actinomyces.
Conclusion
Thoracic actinomycosis is rare in children and presents as a parenchymal lesion with possible fistulization to the chest wall. This article is one of the few in the Peruvian literature, constituting a contribution to the knowledge of the disease and its management in pediatrics.
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Introduction
Actinomycosis is a rare infectious disease caused by Gram-positive bacteria. The most common species is Actinomyces israelii. Among its forms of presentation, the thoracic is the least frequent.
Case presentation
We report two patients with thoracic actinomycosis, 8 and 13 years old, from different geographical areas of Peru. The first case had empyema necessitans and the second, lung consolidation and recurrent hemoptysis. Both had a certain degree of difficulty in their diagnosis but responded favorably to antibiotics and surgical treatment. The diagnosis was based on the histopathological study. However, we were not able to ascertain the species of actinomyces.
Conclusion
Thoracic actinomycosis is rare in children and presents as a parenchymal lesion with possible fistulization to the chest wall. This article is one of the few in the Peruvian literature, constituting a contribution to the knowledge of the disease and its management in pediatrics.
Autores:
Héctor Nuñez-Paucar[1], Carlos Valera-Moreno[1], Mariela Katherine Zamudio-Aquise[1], Fabio Pérez-Garfias[1], Eduardo Jesús Guzmán-Quispe[1], Carlo Calizaya-Gallegos[2], Maycol Suker Ccorahua-Rios[3], Ana Claudia Santander-Cahuantico[3], Marco Edmundo Ordoñez-Linares[3], Noé Atamari-Anahui[1,4]
Citación: Nuñez-Paucar H, Valera-Moreno C, Zamudio-Aquise MK, Pérez-Garfias F, Guzmán-Quispe EJ, Calizaya-Gallegos C, et al. Pulmonary actinomycosis in children: report of two Peruvian cases. Medwave 2020;20(7):e7986 doi: 10.5867/medwave.2020.07.7986
Fecha de envío: 17/4/2020
Fecha de aceptación: 30/6/2020
Fecha de publicación: 6/8/2020
Origen: No solicitado
Tipo de revisión: Con revisión por pares externa, por tres árbitros a doble ciego
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