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February 1958

Pulmonary Actinomycosis

Author Affiliations

West Roxbury, Mass.

From Medical and Radiological Services, Veterans' Administration Hospital, West Roxbury, Mass.; Chief, Medical Service, Veterans' Administration Hospital, West Roxbury, Mass., and Associate Clinical Professor of Medicine, Harvard Medical School, Boston (Dr. Warthin); Chief, Radiology Service, Veterans' Administration Hospital, West Roxbury, Mass., and Assistant in Radiology, Harvard Medical School, Boston (Dr. Bushueff).

AMA Arch Intern Med. 1958;101(2):239-243. doi:10.1001/archinte.1958.00260140071011

Infections in man by Actinomyces bovis usually have involved the cervicofacial, abdominal, or thoracic organs. The first two of these occur more frequently, pulmonary actinomycosis being noted in only about 15% of all clinically reported cases. The fungus is an endogenous organism of the mouth and gastrointestinal tract. Therefore, it may be a cause of disease in any portion of the United States or the world. It is more often seen, however, in certain rural sectors where either the external environment may be more frequently contaminated by the fungus or more likely where oral hygiene is poor. The need for recognition of all forms of the infection has taken on additional interest, since pulmonary involvement may be mistaken for carcinoma of the lung and because current therapies with various antibiotics, although frequently of prolonged duration, are now curative. It was thought, therefore, worth while to review the roentgenographic findings of

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