Unusual presentation of cervicothoracic actinomycosis complicated by pericardial effusion

A case report

Kevin H. Beier, Robert A. Rusnak

    Research output: Contribution to journalArticle

    11 Citations (Scopus)

    Abstract

    Actinomycosis is a chronic-suppurative disease characterized by abscesses and draining sinus tracts, with fibrosis and granulation involving the face and neck and thoracic or pelvic-abdominal regions. Dermatological findings in patients at high risk are the key to the correct diagnosis. Actinomycosis is frequently undiagnosed or misdiagnosed until the correct diagnosis is made after surgical resection. Alcoholic, homeless, and disadvantaged individuals and patients with other factors predisposing to infection including poor dentition, alcoholism, seizures, and trauma are common in the emergency department; thus, emergency physicians should be aware of the different presentations and complications of this disease. The treatment of choice is a high dose of penicillin in conjunction with surgical debridement. The prognosis is excellent with correct diagnosis and therapy.

    Original languageEnglish (US)
    Pages (from-to)303-307
    Number of pages5
    JournalJournal of Emergency Medicine
    Volume15
    Issue number3
    DOIs
    StatePublished - May 1 1997

    Fingerprint

    Actinomycosis
    Pericardial Effusion
    Dentition
    Vulnerable Populations
    Debridement
    Diagnostic Errors
    Pelvis
    Penicillins
    Causality
    Abscess
    Alcoholism
    Hospital Emergency Service
    Seizures
    Emergencies
    Fibrosis
    Chronic Disease
    Neck
    Thorax
    Physicians
    Wounds and Injuries

    All Science Journal Classification (ASJC) codes

    • Emergency Medicine

    Cite this

    Unusual presentation of cervicothoracic actinomycosis complicated by pericardial effusion : A case report. / Beier, Kevin H.; Rusnak, Robert A.

    In: Journal of Emergency Medicine, Vol. 15, No. 3, 01.05.1997, p. 303-307.

    Research output: Contribution to journalArticle

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