Actinomycosis with Organizing Pneumonia, Cervical Pyomyositis and Brachial Diparesis
DOI:
https://doi.org/10.24950/rspmi.839Keywords:
Cervicofacial Actinomycosis, Paresia, Cryptogenic Organizing PneumoniaAbstract
Actinomycosis is an uncommon infectious disease nowadays,
usually presenting a relenting course, with suppuration, sometimes
complicated by sinus tract formation. Actinomyces
are agents of normal flora existing on many human mucosae,
usually nonpathogenic. However, under certain situations of
mucosal disruption they can produce disease. Oral-cervicofacial
disease is the most common form of acinomycosis,
followed by abdominopelvic and pulmonary forms. The diagnosis
is often difficult and it is based on microbiological isolation
of actinomyces or recognition of the typical ‘sulfur granules’ in
affected tissues or purulent material. In this case-report we present
the rare situation of a 49-year-old man with cervical form of
the disease, complicated by prevertebral myositis and involvement
of nervous roots, resulting in brachial diparesis, as well as
by organizing pneumonia.
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