{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:07:51Z","timestamp":1777525671114,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2012,6,1]],"date-time":"2012-06-01T00:00:00Z","timestamp":1338508800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p>Background: diagnosis and treatment of thoracic actinomycosis is difficult. In most cases, surgery is performed to rule out lung cancer or to control severe symptoms such as hemoptysis.<\/jats:p>\n                  <jats:p>Methods: 6 patients with a mean age of 42 years underwent pulmonary resection and were given a pathologic diagnosis of thoracic actinomycosis at our institution between 2003 and 2010. We reviewed preoperative clinical characteristics, computed tomography findings, surgical indication, postoperative clinical course and outcome.<\/jats:p>\n                  <jats:p>Results: All patients were symptomatic. One patient had a history of cervical actinomycosis. The mean interval between radiographic identification of the abnormality and surgical intervention was 8 months (range, 4\u201317 months). Radiographic findings in all cases included a mass-like appearance, simulating lung malignancy or chronic suppuration. The various histological and bacteriological examinations had failed to make the diagnosis. Thoracic actinomycosis was confirmed after thoracic surgery. All patients received penicillin-based antibiotic treatment for at least 2 to 3 months. Good clinical results were observed in 5 patients. In one patient, we noted recurrence of actinomycosis after 10 months; it was a multidrug-resistant form.<\/jats:p>\n                  <jats:p>Conclusion: diagnosis of actinomycosis can be problematic because of difficulty in isolating actinomyces. In these cases, surgery is very helpful.<\/jats:p>","DOI":"10.1177\/0218492312439310","type":"journal-article","created":{"date-parts":[[2013,5,6]],"date-time":"2013-05-06T09:37:22Z","timestamp":1367833042000},"page":"314-319","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Surgery in thoracic actinomycosis"],"prefix":"10.1177","volume":"20","author":[{"given":"Mohamed Sadok","family":"Boudaya","sequence":"first","affiliation":[{"name":"Thoracic and Cardiovascular Department, University Hospital Abderrahmen Mami, Ariana, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Han\u00e8ne","family":"Smadhi","sequence":"additional","affiliation":[{"name":"Thoracic and Cardiovascular Department, University Hospital Abderrahmen Mami, Ariana, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adel","family":"Marghli","sequence":"additional","affiliation":[{"name":"Thoracic and Cardiovascular Department, University Hospital Abderrahmen Mami, Ariana, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mlika","family":"Mouna","sequence":"additional","affiliation":[{"name":"Pathology Department, University Hospital Abderrahmen Mami, Ariana, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatma","family":"Charmiti","sequence":"additional","affiliation":[{"name":"Pulmonary Disease Service IV, University Hospital Abderrahmen Mami, Ariana, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olfa","family":"Ismail","sequence":"additional","affiliation":[{"name":"Thoracic and Cardiovascular Department, University Hospital Abderrahmen Mami, Ariana, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarek","family":"Kilani","sequence":"additional","affiliation":[{"name":"Thoracic and Cardiovascular Department, University Hospital Abderrahmen Mami, Ariana, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,6,1]]},"reference":[{"key":"bibr1-0218492312439310","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(02)03616-0"},{"key":"bibr2-0218492312439310","doi-asserted-by":"publisher","DOI":"10.1016\/S0012-3692(15)52624-X"},{"key":"bibr3-0218492312439310","doi-asserted-by":"crossref","unstructured":"Lin HC, Yang CH, Friedman M, Lin JW. Atypical presentation of actinomycosis: a giant ulcer of the base of the tongue. Op Tech Otolaryngol Head Neck Surg 2007;18:329\u2013331. Available at: http:\/\/www.optecoto.com\/article\/S1043-1810(07)00102-9\/fulltext. Accessed January 21, 2012.","DOI":"10.1016\/j.otot.2007.09.003"},{"key":"bibr4-0218492312439310","doi-asserted-by":"publisher","DOI":"10.1378\/chest.104.2.366"},{"key":"bibr5-0218492312439310","doi-asserted-by":"crossref","unstructured":"Avijgan M, Shakeri H, Shakeri M. A case report of cervicofacial actinomycosis. Asian Pacific J Trop Med 2010;3:838\u201340. Available at: http:\/\/www.sciencedirect.com\/science\/article\/pii\/S1995764510602027 Accessed January 21, 2012.","DOI":"10.1016\/S1995-7645(10)60202-7"},{"key":"bibr6-0218492312439310","doi-asserted-by":"crossref","unstructured":"Fahim A, R, Kastelik J, Campbell A, McGivern D. Case series of thoracic actinomycosis presenting as a diagnostic challenge. Respiratory Medicine CME 2009;2:47\u201350. Available at: http:\/\/www.resmedcme.com\/article\/S1755-0017(08)00071-7\/abstract. 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