Pulmonary Actinomycosis Followed by Pericarditis and Intractable Pleuritis.
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- SHINAGAWA Naofumi
- The First Department of Medicine, Hokkaido University, School of Medicine
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- YAMAGUCHI Etsuro
- The First Department of Medicine, Hokkaido University, School of Medicine
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- TAKAHASHI Toshiki
- The First Department of Medicine, Hokkaido University, School of Medicine
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- NISHIMURA Masaharu
- The First Department of Medicine, Hokkaido University, School of Medicine
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Abstract
A case of pleuropericarditis caused by Actinomyces israelli is described. The patient first underwent left upper lobectomy because of pulmonary actinomycosis. Seven months later, cardiac tamponade developed. Culture of the bloody pericardial effusion resulted in positive growth of Actinomyces israelli. He was successfully treated with penicillin G, ampicillin, and minocyclin. However, right pleural effusion appeared two months later. Cultures of the effusion again yielded positive growth of the same bacteria. However, the strain had gained resistance to any antibiotics that had been effective before. Accordingly, pleurodesis with minocyclin was undertaken, which was fortunately effective for controlling the pleural effusion.<br>(Internal Medicine 41: 319-322, 2002)
Journal
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- Internal Medicine
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Internal Medicine 41 (4), 319-322, 2002
The Japanese Society of Internal Medicine
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Details 詳細情報について
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- CRID
- 1390282679845384448
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- NII Article ID
- 10008354873
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- NII Book ID
- AA10827774
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- COI
- 1:STN:280:DC%2BD383lsVCisg%3D%3D
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- ISSN
- 13497235
- 09182918
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- NDL BIB ID
- 6262870
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- PubMed
- 11993795
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- Text Lang
- en
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- Data Source
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed