An African woman with pulmonary cavities: TB or not TB?

C E Delsing; C Ruesen; M J Boeree; P A van Damme; S Kuipers; R van Crevel

An African woman with pulmonary cavities: TB or not TB?

Neth J Med. 2014 Oct;72(8):426-8.

Authors

C E Delsing¹, C Ruesen, M J Boeree, P A van Damme, S Kuipers, R van Crevel

Affiliation

¹ Department of Internal Medicine, Medical Spectrum Twente, Enschede, the Netherlands.

PMID: 25387555

Abstract

Cavitary lung lesions in patients from developing countries are mostly caused by tuberculosis (TB). However, when TB cannot be confirmed, a primary lung abscess caused by anaerobic bacteria from the mouth should be considered, especially in patients with poor dentition. We present a case of a Sudanese woman with a cavitary lung lesion and severe gingivitis. Bulleidia extructa was isolated as a single pathogen from the pulmonary cavity.

Publication types

Case Reports

MeSH terms

Africa
Amoxicillin-Potassium Clavulanate Combination / administration & dosage
Bacteria, Anaerobic / isolation & purification*
Female
Gingivitis / complications
Humans
Lung Abscess / microbiology
Middle Aged
Sudan / ethnology
Tuberculosis / complications
Tuberculosis / diagnosis*
Tuberculosis / drug therapy
Tuberculosis / microbiology*
Tuberculosis / pathology

Substances

Amoxicillin-Potassium Clavulanate Combination