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Archives of Disease in Childhood 1990;65:991-992; doi:10.1136/adc.65.9.991
Copyright © 1990 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

An unusual cause of thoracic mass.

D C Wilson, A O Redmond

Royal Belfast Hospital for Sick Children, Belfast, Northern Ireland.

A previously well 10 year old boy presented with scoliosis, a mass in the chest wall, and a pleural effusion. Chest radiography showed the triad of chronic consolidation, pleural effusion, and rib periostitis. Investigations confirmed thoracic actinomycosis. Tissue spread was evaluated by computed tomography. It was successfully treated with benzylpenicillin, which was later replaced by clindamycin.


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  • Jameel, A., Wadowski, S., Orentlicher, R., Anderson, V. (2001). Radiological Case of the Month. Arch Pediatr Adolesc Med 155: 1171-1172 [Full Text]  
  • Dweik, R. A., Goldfarb, J., Alexander, F., Stillwell, P. C. (1997). Actinomycosis and Plasma Cell Granuloma, Coincidence or Coexistence: Patient Report and Review of the Literature. CLIN PEDIATR 36: 229-233  
  • Lockhart, G. R., Williams, G. P., Gilbert-Barness, E. (1993). SPECIAL FEATURE. Arch Pediatr Adolesc Med 147: 317-318 [Abstract]  

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