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J Thorac Cardiovasc Surg 2000;120:1009-1010
© 2000 The American Association for Thoracic Surgery

Brief Communications

Actinomycosis presenting as superior vena cava syndrome in a young puerperal woman

Antonios Loutsidis, MDa, Charalambos Zisis, MDa, Dimitra Rontogianni, MDb, Ion Bellenis, MD, FRCSa, Athens, Greece

From the Department of Thoracic and Vascular Surgerya and the Department of Pathology,b Evangelismos General Hospital, Athens, Greece.

Received for publication April 10, 2000. Accepted for publication May 5, 2000. Address for reprints: Antonios Loutsidis, Omirou 19, 16675 Glyfada, Athens, Greece (E-mail: dkakats@cc.uoa.gr).

Thoracic actinomycosis is a rare pathologic condition frequently masquerading as cancer of the lung. The mistaken diagnosis may result in thoracotomy and pulmonary resection as treatment, given that the majority of the cases initially remain undiagnosed. Because of the high mortality of the disease, if untreated, it is imperative to obtain the diagnosis as soon as possible. Appropriate treatment may ensure a good prognosis.

Clinical summary
A 19-year-old woman from Albania was admitted for respiratory distress. One month previously, she had a normal uncomplicated delivery. Fifteen days later, leg edema, left-sided chest pain, and progressive dyspnea developed. On admission, physical examination revealed an ill-looking woman with a respiratory rate of 40 breaths/min, a pulse rate of 150 beats/min, an arterial blood pressure of 80/40 mm Hg, and a temperature of 38.3°C. . . . [Full Text of this Article]






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