Bronchoscopic diagnosis of an unusual presentation of pulmonary actinomycosis.
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A case of actinomycotic ovarian abscess ruptured during early gestation and related to IUD use is reported. The patient was treated by antibiotic therapy and oophorectomy. Further evolution of the pregnancy was irrelevant.
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A 50-year-old Japanese man had had abscesses and draining fistulas in the perianal region. These lesions recurred, despite surgical treatment such as incision and drainage over a 30 year period. "Sulfur granules" were found in the pus from the abscess and Actinomyces israelii was cultured. Ampicillin-cloxacillin treatment lead to healing. The patient died 4 months later with a hepatoma and multiple metastases.
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