Abstract
A case of pulmonary actinomycosis is described in a 53-year-old man who presented with a lesion infiltrating from the lung into the thoracic wall. Actinomycosis israeli was isolated from the inflammatory exudate and treated with parenteral penicillin. This infection was complicated by Actinobacillus actinomycetem comitans septicaemia, disseminated intravascular coagulation, and renal failure. The importance ofactinomycosis lies in recognition and differentiation from tuberculosis, fungal infections and neoplastic conditions. Secondly, the association with concomitant Gram-negative bacilli must be considered if relapse occurs whilst on antibiotics.
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