ArticleBMC infectious diseases2015
Periodontitis-associated septic pulmonary embolism caused by Actinomyces species identified by anaerobic culture of bronchoalveolar lavage fluid: a case report.
Article in BMC infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Lung microbiome: new insights into the pathogenesis of respiratory diseases.Signal transduction and targeted therapy · 2024Review
- Saliva Microbiome Changes in Patients With Periodontitis With and Without Chronic Obstructive Pulmonary Disease.Frontiers in cellular and infection microbiology · 2020Article
- A case report of primary sternal osteomyelitis caused by polymicrobial bacteria, includingIDCases · 2020Article
- Lung abscess by Actinomyces odontolyticus and Parvimonas micra co-infection presenting as acute respiratory failure: A case report.Medicine · 2019Article
- Septic pulmonary embolism associated with periodontal disease: a case report and literature review.BMC infectious diseases · 2019Review
- Species-Level Salivary Microbial Indicators of Well-Resolved Periodontitis: A Preliminary Investigation.Frontiers in cellular and infection microbiology · 2019Article
- Case report of Actinomyces turicensis meningitis as a complication of purulent mastoiditis.BMC infectious diseases · 2018Article
- "Holes" in the Jaw-A Report of Two Cases of Periapical Actinomycosis.Diseases (Basel, Switzerland) · 2018Article
- Is periodontal infection a risk factor for thromboembolic disease? A systematic review.Journal of Indian Society of PeriodontologyReview
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeriodontal disease is a less common but important cause of septic pulmonary embolism (SPE). However, the pathogens causing periodontal disease-associated SPE (PD-SPE) have been poorly understood. Actinomyces species are resident microbiota in the oral cavity. Here we report a case of PD-SPE caused by Actinomyces species, which was identified by anaerobic culture of bronchoalveolar lavage fluid (BAL). CASE PRESENTATION: A 64-year-old Asian man, complicated with severe chronic periodontitis, was admitted with chest pain and fever. Chest CT revealed multiple bilateral pulmonary nodules located subpleurally. We diagnosed the case as SPE associated with periodontitis. Although blood cultures were negative for the usual 5-day incubation, anaerobic culture of the BAL fluid sample yielded Actinomyces species. Antibacterial therapy alone did not ameliorate the symptoms; however, additional dental treatment, including tooth extraction, promptly did. The patient was discharged 23 days after admission. The 3-month follow-up revealed no recurrence of the symptoms and complete resolution of the lung lesions.
conclusionThis case demonstrated that Actinomyces species can cause PD-SPE. Additionally, clinicians should consider performing appropriate anaerobic culture of BAL fluid to identify the pathogen of SPE, and to ordering dental treatment, if necessary, in addition to antibiotics for the initial management of PD-SPE.
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