Case Report– Rarest presentation of Actinomycosis with pericardio–pleural effusion & ascites.

Dr. Naresh Sen; Dr. Sonal Tanwar

Volume : VI, Issue : I, January - 2016

Case Report– Rarest presentation of Actinomycosis with pericardio–pleural effusion & ascites.

Dr. Naresh Sen, Dr. Sonal Tanwar

Abstract :

Background– Actinomycosis is a uncommon disease caused by Actinomyces spp., Gram–positive, anaerobic or microaerobic bacteria that normally colonize the human mouth and GIT and genital tracts. rarely cardio–pulmonary actinomycosis with peritoneal involvement. clinical case– 29 years old female came with presentation of right lower chest pain with severe shortness of eath and low grade fever last 4 hrs . O/E dental caries ,right chest bulging with diminished eath sounds,distended abdomen ,raised WBC counts, normal ECG, Chest X–Ray showed right sided pleural effusion and bilateral opacity & pericardial effusion and ascites which were confirmed by 2D echo ,CT chest & abdomen . Finally she was diagnosed as an actinomycosis israelii on based of culture and biopsy. Conclusion–Patients with actinomycosis require prolonged high doses of penicillin G or amoxicillin and other sensitive antibiotics and drainage. Early diagnosis will reduce the hospital stay or mortality in such kind of patients.