Asymptomatic Presentation of Mediastinal Actinomycosis in a Pediatric Patient with AcuteLymphoblastic Leukemia: Case Report and Discussion
Journal Title: Journal of Clinical & Medical Case Reports - Year 2015, Vol 2, Issue 1
Abstract
We report a nine year old male with Philadelphia positive Precursor B Acute Lymphoblastic Leukemia who was diagnosed with mediastinal actinomycosis following failed central line placement. The patient had a normal chest X-Ray at diagnosis, had a good response to initial chemotherapy, but subsequently developed a widened mediastinum with vascular compression. The differential diagnosis for this included infection, leukemia relapse, a second malignancy and vascular and congenital abnormalities. Actinomycosis is associated with hematogenous spread and invasion of neighbouring structures, and should be considered in the differential diagnosis of any child with a mediastinal mass.
Authors and Affiliations
Tristan Charles John Pettit
Keywords
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- EP ID EP207593
- DOI 10.13188/2332-4120.1000006
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