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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 59-year-old woman&#44; smoker &#40;10 cigarettes&#47;day&#41;&#44; independent for basic activities of daily life&#44; with a personal history of arterial hypertension and acute inferior posterior myocardial infarction with right coronary stent&#46; She consulted in the emergency room of our center with 2-month history of a left indurated pectoral mass&#44; fever and constitutional syndrome with weight loss &#40;&#62;10&#8239;kg&#41;&#46; A chest CT was requested in the internal medicine department&#44; which revealed a consolidation in the left upper lobe with a large adjacent chest mass &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46; Direct puncture of the mass did not provide material for histopathological study&#44; so surgical biopsy was performed&#44; showing pulmonary actinomycosis &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#8211;D&#41;&#46; Intravenous antibiotic therapy was started with amoxicillin-clavulanic acid&#44; resulting in frank clinical improvement&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Pulmonary actinomycosis is a chronic suppurative infection caused by gram-positive bacilli of the <span class="elsevierStyleItalic">Actinomyces</span> group that form part of our usual flora&#46; Since clinical and radiological signs are non-specific&#44; and may suggest a neoplastic process&#44; diagnosis is usually delayed and generally obtained from a histopathological study&#46; Treatment of choice is a 6&#8211;12 month course of penicillin or amoxicillin&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Actinomycosis should be taken into account when determining the etiology of atypical pneumonias in immunocompetent patients<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a>&#46;</p></span>"
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