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1 Santo Tomas Hospital.
The first case of pulmonary actinomycosis with multiple fistulae of the thoracic wall is reported in the Isthmus of Panama, as checked by the bibliography up to December 1945.
The mycological study demonstrated that the pathogenic organism was Nocardia asteroides.
The treatment with penicillin apparently cured the patient of her actinomycotic lesion.
It is necessary to wait for at least 18 months to definitely assay the future of the patient from the standpoint of her mycotic lesion.
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