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Gingivitis as probable source of a thoracic actinomycosis due to Actinomyces israelii and Actinobacillus actinomycetemcomitans
  1. U Kordes1,
  2. K Beutel1,
  3. G Cachovan2,
  4. H Schäfer3,
  5. K Helmke4,
  6. I Sobottka5
  1. 1Department of Pediatric Hematology and Oncology, University Hospital Eppendorf, Hamburg, Germany
  2. 2Department of Operative Dentistry and Periodontology, School of Dentistry, University Hospital Eppendorf, Hamburg, Germany
  3. 3Department of Pathology, University Hospital Eppendorf, Hamburg, Germany
  4. 4Department of Pediatric Radiology, University Hospital Eppendorf, Hamburg, Germany
  5. 5Institute of Medical Microbiology and Immunology, University Hospital Eppendorf, Hamburg, Germany
  1. Correspondence to:
    Dr U Kordes
    Abteilung für Kinderhämatologie und -onkologie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, D-20246 Hamburg, Germany; kordes{at}uke.uni-hamburg.de

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Actinomycosis is a chronic, granulomatous disease of cervicofacial (55%), abdominal (20%), or thoracic (15%) location caused by Actinomyces israelii.1 It is often accompanied by copathogens such as Actinobacillus actinomycetemcomitans, which is also strongly associated with gingivitis.2

We report on a 9 year old boy who presented with a six week history of cough, weight loss, and malaise, but no fever. On physical examination he had …

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