Mediastinal Mass, Cancer, or Infection, Atypical Paraesophageal Actinomycosis Infection, Clinical and Surgical Approach

Nosayaba Enofe, Manuel Garcia Russo, Esha R. Kadakia, Peter I. Axelrod, Joseph Friedberg, Stacey Su, Rohit Kumar

Research output: Contribution to journalArticlepeer-review

Abstract

Actinomyces israelii (AI) is a Gram-positive, rod-shaped bacterium that lives commensally on and within humans as a typical colonizer within the gastrointestinal tract, including the mouth. As an opportunistic pathogen, infection often results from tissue injury or breach of the mucosal barrier (ie, during various dental or GI procedures, aspiration, or specific pathologies such as diverticulitis). Symptoms generally present slowly as a non-tender, indurated mass that evolves into multiple abscesses, fistulae, or draining sinus tracts without regard for anatomical barriers, including fascial planes or lymphatic drainage. However, it may also present as an acute suppurative infection with pain and rapid progression to abscess formation.

Original languageAmerican English
Pages (from-to)468-470
Number of pages3
JournalAmerican Surgeon
Volume90
Issue number3
Early online dateNov 27 2023
DOIs
StatePublished - Mar 2024

Keywords

  • EBUS
  • Infection
  • Mediastinum
  • Thoracic Surgery
  • Actinomycosis/diagnosis
  • Humans
  • Abscess
  • Neoplasms

Fingerprint

Dive into the research topics of 'Mediastinal Mass, Cancer, or Infection, Atypical Paraesophageal Actinomycosis Infection, Clinical and Surgical Approach'. Together they form a unique fingerprint.

Cite this