Pulmonary Actinomycosis and Multiple Cavitary Lung Lesions in a Patient Previously Reported with Pulmonary Candidiasis: A Case Report

Abstract

This paper presents the case of a 43 years old patient admitted three times to the Pneumology Department with productive cough, asthenia, important weight loss, and fever. His chest CT showed multiple pulmonary cavities growing over time, ground-glass opacities, and pleural effusion. Clinical symptoms and radiological signs were highly suggestive of tuberculosis, but he tested negative multiple times. Candida spp. was diagnosed through bronchial washing and treated. After a few months, the patient comes back with worsened symptoms and is diagnosed with pulmonary actinomycosis.