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Ann Thorac Surg 1989;47:305-307
© 1989 The Society of Thoracic Surgeons

Articles

pleuropulmonary actinomycosis associated with a systemic-to-pulmonary artery fistula and contralateral metastatic back mass

A.Ron Miller, MD, John M. Robertson, MD*, Ronald J. Nelson, MD, Carlos A. Castro, MD, Paul S. Dickman, MD

Division of Cardiothoracic Surgery and Department of Pathology, Los Angeles County Harbor/UCLA Medical Center, Torrance, California, USA

Accepted for publication August 29, 1988.

* Address reprint requests to Dr Robertson, Division of Cardiothoracic Surgery, Habor/UCLA Medical Center, 1000 West Carson St, Bin 423, Torrance, CA 90509.

We report a case of systemic-to-pulmonary artery fistula associated with thoracic actinomycosis and with metastatic hematogenous dissemination to the soft tissues of the back. The difficulty in diagnosing thoracic actinomycosis may predispose to the increased incidence of hematogenous spread of this disease. Although resection of pulmonary tissue including the infectious mass was required in previous cases, resection of the pleural mass alone was curative in this patient when combined with penicillin therapy.






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Copyright © 1989 by The Society of Thoracic Surgeons.