Mediastinitis Due to Actinomyces Naeslundii
Journal Title: Macedonian Journal of Medical Sciences (MJMS) - Year 2010, Vol 3, Issue 2
Abstract
A 48-year-old man with retrosternal chest pain and upper abdominal pain with propagation to the back, with clinical signs of nausea, dyspnea and dysphagia was referred to the Clinics of thoracic surgery. After esophagography, operative treatment was indicated. Left thoracotomy with mediastinothomy were performed. During the operation, a sample of pus was taken and sent for a microbiological examination at the Institute of Microbiology and Parasitology, Medical Faculty in Skopje. Standard microbiological procedures were used. The sample was cultured anaerobically on Schaedler agar and incubated for 48 hours at 37ºC. Oval, smooth colonies were observed. Gram stained smear revealed short branching Gram-positive filaments suspected for genus Actinomyces. For a definitive diagnosis and differentiation of the Actinomyces species, an automated VITEK system was used. Two weeks after treatment by ceftriaxon, metronidazol and analgetics, all clinical signs improved and patient was released in good physical condition.
Authors and Affiliations
Zhaklina Cekovska| Institute of Microbiology and Parasitology, Faculty of Medicine, University Ss Kiril and Metodij”, Skopje, Republic of Macedonia, Ana Kaftandzieva| Institute of Microbiology and Parasitology, Faculty of Medicine, University Ss Kiril and Metodij”, Skopje, Republic of Macedonia, Milena Petrovska| Institute of Microbiology and Parasitology, Faculty of Medicine, University Ss Kiril and Metodij”, Skopje, Republic of Macedonia, Nikola Panovski| Institute of Microbiology and Parasitology, Faculty of Medicine, University Ss Kiril and Metodij”, Skopje, Republic of Macedonia, Zoran Spirovski| University Clinic of Thoracic and Vascular surgery, Faculty of Medicine, University Ss Kiril and Metodij”, Skopje, Republic of Macedonia, Hamza Abdulai| University Clinic of Thoracic and Vascular surgery, Faculty of Medicine, University Ss Kiril and Metodij”, Skopje, Republic of Macedonia
Keywords
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- EP ID EP8742
- DOI 10.3889/MJMS.1857-5773.2010.0105
- Views 365
- Downloads 24
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