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Clinical Pediatrics, Vol. 24, No. 11, 646-650 (1985)
DOI: 10.1177/000992288502401113

Thoracic Actinomycosis in Childhood

Neville Golden

Department of Pediatrics, Division of Adolescent Medicine, Department of Radiology, The Brookdale Hospital Medical Center, State University of New York, Brooklyn, New York

Harris Cohen

Department of Pediatrics, Division of Adolescent Medicine, Department of Radiology, The Brookdale Hospital Medical Center, State University of New York, Brooklyn, New York

Jay Weissbrot

Department of Pediatrics, Division of Adolescent Medicine, Department of Radiology, The Brookdale Hospital Medical Center, State University of New York, Brooklyn, New York

Stuart Silverman

Department of Pediatrics, Division of Adolescent Medicine, Department of Radiology, The Brookdale Hospital Medical Center, State University of New York, Brooklyn, New York

A 14-year-old boy presenting with a chest wall mass, pulmonary infiltrate, and scoliosis was found to have thoracic actinomycosis with distal vertebral involve ment. Review of the medical literature for the past 25 years revealed only 23 other pediatric cases of thoracic actinomycosis. Clinical, standard radiological, and microbiological findings can be nonspecific. The diagnosis is dependent on a high index of suspicion. A long course of penicillin is the treatment of choice. Body computed tomography is a useful diagnostic aid and is helpful also in evaluating response to therapy.


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R. A. Dweik, J. Goldfarb, F. Alexander, and P. C. Stillwell
Actinomycosis and Plasma Cell Granuloma, Coincidence or Coexistence: Patient Report and Review of the Literature
Clinical Pediatrics, April 1, 1997; 36(4): 229 - 233.
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