Pulmonary actinomycosis during the first decade of 21st century: cases of 94 patients
- Equal contributors
1 Department of Internal Medicine and Research Center for Pulmonary Disorders, Chonbuk National University Medical School, San 2-20, Geumam-dong, Deokjin-gu, Jeonju, Jeonbuk, 561-180, Korea
2 Department of Internal Medicine and Research Center for Pulmonary Disorders, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, San 2-20, Geumam-dong, Deokjin-gu, Jeonju, Jeonbuk, 561-180, Korea
3 Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea
4 Department of Internal Medicine, Yeungnam University College of Medicine and Regional Center for Respiratory Disease, Yeungnam University Medical Center, Daegu, Korea
5 Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea
6 Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, School of Medicine, Wonkwang University, Iksan, Korea
7 Department of Internal Medicine, Chungnam National University Medical School, Daejeon, Korea
8 Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea
9 Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea
10 Department of Internal Medicine, Division of Respiratory Medicine, Dong-A University, College of Medicine, Busan, Korea
11 Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
12 Department of Internal Medicine, Kangwon National Univsersity School of Medicine, Chuncheon, Korea
13 Department of Internal Medicine, College of Medicine, Division of Pulmonology, The Catholic University of Korea, Seoul, Korea
14 Department of Internal Medicine, Konyang University Hospital, Daejeon, Korea
BMC Infectious Diseases 2013, 13:216 doi:10.1186/1471-2334-13-216Published: 14 May 2013
Pulmonary actinomycosis is a chronic pulmonary infection caused by Actinomyces. Both improving oral hygiene and early application of antibiotics to the case of suspicious pulmonary infections result in changes in incidences and presentations of pulmonary actinomycosis. However, there are little reports dealt with the recent clinical characteristics of pulmonary actinomycosis. This study aimed to review the characteristics of pulmonary actinomycosis occurred during the first decade of 21st century.
This retrospective study was performed on 94 subjects with pulmonary actinomycosis diagnosed pathologically from January 2000 to December 2010 in 13 hospitals in Korea.
The data of the study showed that pulmonary actinomycosis occurs frequently in middle to old-aged males (mean age; 57.7 years old) and that the most common symptoms are cough, hemoptysis, and sputum production. Various radiologic features such as the consolidation with central low attenuation (74.5%) and no regional predominance were also observed. Most of patients recovered completely with medical and/or surgical treatment, reaching approximately 98% cure rate.
The results demonstrate that pulmonary actinomycosis is one of the cautious pulmonary diseases. More importantly, in cases of persistent hemoptysis or for differential diagnosis from lung malignancy, our data have revealed that surgical resection appears to be a useful intervention and that radiologic diagnosis may not provide decisive information. These findings indicate that it is important for the clinicians to include pulmonary actinomycosis as one of differential diagnoses for refractory pulmonary abnormal lesions to the current usual management.