Cekovska Z, Kaftandzieva A, Petrovska M, Panovski N, Spirovski Z, Abdulai H. Mediastinitis Due to Actinomyces Naeslundii. Maced J Med Sci. 2010;3(2):159-163. Epub 2010 May 25. doi.10.3889/MJMS.1957-5773.2010.0105. [Eng Abstract]

Macedonian Journal of Medical Sciences [International Peer Reviewed]

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Abstract [Full-Text PDF] [Macedonian Abstract] [OnlineFirst Full-Text PDF]

Macedonian Journal of Medical Sciences. 2010 Jun 15; 3(2):159-163.

doi:10.3889/MJMS.1857-5773.2010.0105

Case Report

Mediastinitis Due to Actinomyces Naeslundii

Zhaklina Cekovska¹, Ana Kaftandzieva¹, Milena Petrovska¹, Nikola Panovski¹, Zoran Spirovski², Hamza Abdulai²

¹Institute of Microbiology and Parasitology, Faculty of Medicine, University Ss Kiril and Metodij", Skopje, Republic of Macedonia; ²University Clinic of Thoracic and Vascular surgery, Faculty of Medicine, University Ss Kiril and Metodij", Skopje, Republic of Macedonia

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.

Key words: Actinomycosis; thoracotomy; mediastinitis.

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