Bünyamin SERTOĞULLARINDAN, Ceyda ANAR, Onur TURAN, Betül İkbal DOĞAN

COVID-19 Pandemi Döneminde Multiple Nodüllerle Gelen Hastada Nadir Görülen Bir Enfeksiyon Etkeni: Aktinomikoz Odontoliticus

Pulmoner aktinomikoz bildirildiğine göre tüm aktinomikoz vakalarının % 15’ini oluşturur vepulmoner Actinomyces odontolyticus özellikle nadirdir. Aktinomikoz, sıklıkla bağışıklığı baskılanmış durumlarla ilişkilendirilen nadir, kronik granülomatöz bir enfeksiyondur, ancak sağlıklıinsanları da etkileyebilir. Burada immünkompetant 33 yaşında bir kadın hastada dişabsesine bağlı A. odontolyticus’un neden olduğu bilateral akciğerde yer yer buzlu cam dansitesinde olan nodüllerle karakterize, ayırıcı tanısında metastatik akciğer hastalığı, pandemi döneminde olmamız itibari ile COVID-19 olabileceğini düşündüğümüz, bronkoskobide alınan bronkoalveoler lavaj (BAL) ile tanı koyduğumuz olguyu sunduk.

A Rare Infection Factor in a Patient with Multiple Nodules During The COVID-19 Pandemic Period: Actinomycosis Odontoliticus

Pulmonary actinomycosis has been reported to account for 15% of all cases of actinomycosis, and pulmonary Actinomyces odontolyticus is particularly rare. Actinomycosis is a chronic granulomatous infection that often occurs in immunocompromised conditions, but it can also affect healthy people.Here, we present a case in which we diagnosed an immunocompetent 33-year-old female patient with bronchoalveolar lavage (BAL) by bronchoscopy, which is characterized by nodules with ground glass density in bilateral lung caused by A. odontolyticus due to a dental abscess. Bilateral nodular infiltrates made us think of metastatic lung disease; We assessed the patıent in terms of COVID-19 pneumonıa as we are in the perıod of pandemia.

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