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Vol. 23. Issue 3.
Pages 133-135 (May - June 1987)
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Vol. 23. Issue 3.
Pages 133-135 (May - June 1987)
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Actinomicosis toracica. A proposito de un caso
Thoracic actynomicosis. Case report
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J. Villalta, C.A. Henriquez
Servicio de Cirugía, Hospital Virgen de los Volcanes. Arrecife de Lanzarote
A. Valls*, R. Alamo**, J. Solera***
* Servicio de Microbiología, Hospital Virgen de los Volcanes. Arrecife de Lanzarote
** Servicio de Medicina Interna. Hospital Virgen de los Volcanes. Arrecife de Lanzarote
*** Servicio de Anatomía Patológica. Hospital Virgen del Pino. Las Palmas
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La fistulization externa de la actinomicosis pulmonar a través de la pared torácica es en la actualidad una forma de presentación muy infrecuente de esta enfermedad. Las dificultades diagnósticas, a pesar de tal expresividad clínica, son numerosas, por lo que se debe demostrar el agente etiológico mediante el cultivo bacteriológico y la biopsia de los tejidos afectados en el curso de un proceso supurativo recidivante de evolución insidiosa.

Se presenta un caso ilustrativo que ha requerido procedimientos quirúrgicos poco invasivos y antibioticoterapia con penicilina para conseguir la remisión completa del proceso.

External fistulization of pulmonary actynomicosis through the thoracic wall is currently a rather uncommon presentation of the disease. In spite of the clinical features of this disease diagnosis remains difficult, trying to demonstrate the etiologic microrganism by means of bacteriological culture and biopsy of the involved tissue throughout the insidous course of a recurrent suppurative disease.

We present an illustrative case which required minor surgical procedures and penicillin antibiotic therapy in order to achieve a complete remission of the disease.

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Copyright © 1987. Sociedad Española de Neumología y Cirugía Torácica
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