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Endobronchial actinomycosis in a child during COVID-19 pandemic
  • +8
  • Pierre Goussard,
  • Helena Rabie,
  • Michelle Marshall,
  • Lunga Mfingwana,
  • Julie Morrison,
  • Zane Ismail,
  • Francois Retief,
  • Pieter Nel,
  • Dawood Dacosta,
  • Savvas Andronikou,
  • Pawel Schubert
Pierre Goussard
Stellenbosch University
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Helena Rabie
Stellenbosch University Faculty of Medicine and Health Sciences
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Michelle Marshall
Stellenbosch University Faculty of Medicine and Health Sciences
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Lunga Mfingwana
Stellenbosch University Faculty of Medicine and Health Sciences
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Julie Morrison
Stellenbosch University Faculty of Medicine and Health Sciences
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Zane Ismail
Stellenbosch University Faculty of Medicine and Health Sciences
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Francois Retief
Stellenbosch University Faculty of Medicine and Health Sciences
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Pieter Nel
Stellenbosch University Faculty of Medicine and Health Sciences
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Dawood Dacosta
Stellenbosch University Faculty of Medicine and Health Sciences
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Savvas Andronikou
University of Pennsylvania
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Pawel Schubert
Stellenbosch University Faculty of Medicine and Health Sciences
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Abstract

Actinomycosis is a rare, indolent and invasive infection caused by Actinomyces species. Pulmonary actinomycosis is very rarely seen in the paediatric population. The classic radiological presentation of thoracic involvement of actinomycosis includes lower lobe consolidation, empyema and periostitis of the ribs. We report a case of endobronchial pulmonary actinomycosis in a child diagnosed on endobronchial biopsy and broncho-alveolar lavage taken during bronchoscopy. Bronchoscopy can be dangerous when performed on these cases, as there is a risk of severe bleeding and large airway obstruction, as was the case with this patient.

Peer review status:IN REVISION

05 May 2021Submitted to Pediatric Pulmonology
06 May 2021Assigned to Editor
06 May 2021Submission Checks Completed
08 May 2021Reviewer(s) Assigned
06 Jun 2021Review(s) Completed, Editorial Evaluation Pending
07 Jun 2021Editorial Decision: Revise Minor
08 Jun 20211st Revision Received