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Insights into Imaging· 2012Q1

An overview of thoracic actinomycosis: CT features

Ji‐Yeon Han, Ki-Nam Lee, Jae Kyo Lee, Yun‐Hyeon Kim et al.

Short summary

Thoracic actinomycosis, a chronic bacterial infection, can be radiologically classified into parenchymal, airway, endobronchial, and mediastinal/chest wall types based on CT imaging.

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Key points

  • Thoracic actinomycosis is an uncommon, chronic suppurative bacterial infection caused by Actinomyces species.
  • Risk factors include underlying respiratory disorders (emphysema, chronic bronchitis), poor oral hygiene, alcoholism, and chronic debilitating diseases.
  • CT imaging can differentiate thoracic actinomycosis into parenchymal, bronchiectatic, endobronchial, and extrapulmonary patterns.
  • Typical CT findings for the parenchymal pattern include central low density within consolidation and adjacent pleural thickening.

AI-generated from the title and abstract; the full text is not read.

Abstract

BACKGROUND: Thoracic actinomycosis is an uncommon, chronic suppurative bacterial infection caused by actinomyces species, especially Actinomyces israelii. METHODS: It is usually seen in immunocompetent patients with respiratory disorders, poor oral hygiene, alcoholism and chronic debilitating diseases. RESULTS: We illustrate the radiological manifestations of thoracic actinomycoses in various involved areas in the thorax. CONCLUSION: Thoracic actinomycosis can be radiologically divided into the parenchymal type, the airway type including bronchiectasis, the endobronchial form, and the mediastinum or chest wall involvement type. TEACHING POINTS: • Important risk factors for thoracic actinomycosis are underlying respiratory disorders such as emphysema and chronic bronchitis. • Different CT patterns can be distinguished in thoracic actinomycosis: parenchymal, bronchiectatic, endobronchial and extrapulmonary. • Typical CT findings in the parenchymal pattern are a central low density within the parenchymal consolidation and adjacent pleural thickening.

The authors' abstract, as published at the source. Insights into Imaging, 2012 · DOI ↗

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Field: Microbiology

MicrobiologyMedicine