Tuberc Respir Dis.  1998 Aug;45(4):870-875. 10.4046/trd.1998.45.4.870.

A Case with Mixed Infection of Actinomyces and Aspergillus in the Lung

Affiliations
  • 1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 2Department of Chest Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 3Department of Diagnostic Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Abstract

Actinomycosis is a bacterial infection that can affect virtually any site in the body. There are three major forms of actinomycosis: cervicofacial, abdominal and thoracic. Aspergillus spp. are ubiquitous in the environment in most countries of the world. Pulmonary aspergillosis is clinically classified by aspergilloma, allergic bronchopulmonary aspergillosis and invasive aspergillosis. Actinomyces and Aspergillus, each of them was often reported in case, but mixed infection of both organisms have not kern reported. We experienced a case of mixed infection of Actinomyces and Aspergillus involving the same area of the lung in a 62 year-old housewife presented with hemoptysis and solitary pulmonary nodule. Percutaneous needle aspiration and later surgical resection revealed sulfur granule mixed with Aspergillus hyphae in the same lesion. We report this case with a review of the literature.

Keyword

Actinomycosis; Aspergillosis; Solitary pulmonary nodule

MeSH Terms

Actinomyces*
Actinomycosis
Aspergillosis
Aspergillosis, Allergic Bronchopulmonary
Aspergillus*
Bacterial Infections
Coinfection*
Hemoptysis
Humans
Hyphae
Lung*
Middle Aged
Needles
Pulmonary Aspergillosis
Solitary Pulmonary Nodule
Sulfur
Sulfur
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