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KMID : 0351219950270030301
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Korean Journal of Infectious Diseases
1995 Volume.27 No. 3 p.301 ~ p.305
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Pulmonary Actinomycosis in a Pediatric Patient
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Abstract
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Pulmonary actinomycosis is a rare disease characterized by chronic suppurative granulomatous inflammation. It occurs in patients with chronic bronchitis, bronchiectasia or pulmonary emphysema by aspiration of foreign bodies or direct invasion of
Actinomyces. It is confirmed histologically by the presence of sulfur granules on the biopsy specimen. We experienced a case of pulmonary actinomycosis in a 11 year-old female. She had been suffering from productive cough, blood-tinged sputum and
progressive pneumonic consolidation for previous 3 years and did not respond to antibiotic therapy or anti-tuberculous medications. Percutaneous lung needle aspiration biopsy revealed pulmonary actinomycosis. She was initially managed with
Na-penicillin
G 300.000 unit/kg/day or clindaymycin 45mg/kg/day for 1month but symptom did not improve. After all she received right pneumonectomy because of massive hemoptysis and was medicated with Na-penicillin G for 3 weeks and oral clindamycin for 3
months.
She
has been doing well without recurrence of actinomycosis for postoperative 2 years.
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KEYWORD
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