Actinomycosis presenting as an isolated pleural effusion in a patient with an HIV infection: a case report and literature review
- Abstract
- BACKGROUND: Thoracic actinomycosis is an uncommon, chronic, and progressive infection, especially in patients with HIV. We report a case of thoracic actinomycosis presenting as an isolated pleural effusion in a patient with an HIV infection. CASE PRESENTATION: A 68-year-old patient with progressive dyspnea and fever was admitted. On the right side, an ipsilateral massive pleural effusion was confirmed on the chest radiograph, and an HIV infection was newly diagnosed. A pleural biopsy was performed for the further differential diagnosis of potential opportunistic infections and malignancies. The pathology findings were consistent with actinomycosis. CONCLUSIONS: Active diagnostic approaches such as a pleural biopsy should be considered for indeterminate pleural effusions in immunocompromised patients.
- All Author(s)
- J. W. Park
; Y. H. Kim
; E. Lee
; S. Y. Park
; T. H. Kim
- Issued Date
- 2021
- Type
- Article
- Keyword
- Actinomycosis/diagnosis/drug therapy; Aged; Biopsy; *HIV Infections/complications/drug therapy; Humans; *Lung Diseases; *Pleural Effusion/diagnosis; Actinomycosis; Human immunodeficiency virus; Pleural effusion
- ISSN
- 1742-6405
- Citation Title
- AIDS Research and Therapy
- Citation Volume
- 18
- Citation Number
- 1
- Citation Start Page
- 86
- Citation End Page
- 86
- Language(ISO)
- eng
- DOI
- 10.1186/s12981-021-00412-5
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/638
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