Nuñez-Paucar Héctor, Valera-Moreno Carlos, Zamudio-Aquise Mariela Katherine, Pérez-Garfias Fabio, Guzmán-Quispe Eduardo Jesús, Calizaya-Gallegos Carlo, Ccorahua-Rios Maycol Suker, Santander-Cahuantico Ana Claudia, Ordoñez-Linares Marco Edmundo, Atamari-Anahui Noé
Instituto Nacional de Salud del Niño-Breña, Lima, Perú. ORCID: 0000-0003-3995-2079.
Instituto Nacional de Salud del Niño-Breña, Lima, Perú. ORCID: 0000-0002-8312-3262.
Medwave. 2020 Aug 6;20(7):e7986. doi: 10.5867/medwave.2020.07.7986.
Actinomycosis is a rare infectious disease caused by Gram-positive bacteria. The most common species is Actinomyces israelii. Among its forms of presentation, the thoracic is the least frequent.
We report two patients with thoracic actinomycosis, 8 and 13 years old, from different geographical areas of Peru. The first case had empyema necessitans and the second, lung consolidation and recurrent hemoptysis. Both had a certain degree of difficulty in their diagnosis but responded favorably to antibiotics and surgical treatment. The diagnosis was based on the histopathological study. However, we were not able to ascertain the species of actinomyces.
Thoracic actinomycosis is rare in children and presents as a parenchymal lesion with possible fistulization to the chest wall. This article is one of the few in the Peruvian literature, constituting a contribution to the knowledge of the disease and its management in pediatrics.
放线菌病是一种由革兰氏阳性菌引起的罕见传染病。最常见的菌种是以色列放线菌。在其表现形式中，胸段放线菌病最为少见。
我们报告了两名来自秘鲁不同地理区域的胸段放线菌病患儿，年龄分别为8岁和13岁。第一例患者患有坏死性脓胸，第二例患者有肺实变和反复咯血。两例患者在诊断上均有一定困难，但对抗生素和手术治疗反应良好。诊断基于组织病理学研究。然而，我们无法确定放线菌的种类。
胸段放线菌病在儿童中罕见，表现为实质性病变，可能形成通向胸壁的瘘管。本文是秘鲁文献中为数不多的相关报道之一，为儿科领域对该病及其治疗的认识做出了贡献。
