Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Pulmonary Actinomycosts Followed by Pericarditis and Intractable Pleuritis
Naofumi SHINAGAWAEtsuro YAMAGUCHIToshiki TAKAHASHIMasaharu NISHIMURA
Author information
JOURNALS FREE ACCESS

2002 Volume 41 Issue 4 Pages 319-322

Details
Abstract

A case of pleuropericarditis caused by Actinomyces israelli is described. The patient first underwent left upper lobectomy because of pulmonary actinomycosis. Seven months later, cardiac tamponade developed. Culture of the bloody pericardial effusion resulted in positive growth of Actinomyces israelli. He was successfully treated with penicillin G, ampicillin, and minocyclin. However, right pleural effusion appeared two months later. Cultures of the effusion again yielded positive growth of the same bacteria. However, the strain had gained resistance to any antibiotics that had been effective before. Accordingly, pleurodesis with minocyclin was undertaken, which was fortunately effective for controlling the pleural effusion.
(Internal Medicine 41: 319-322, 2002)

Information related to the author
© The Japanese Society of Internal Medicine
Previous article Next article
feedback
Top