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Chest, Vol 67, 494-496, Copyright © 1975 by American College of Chest Physicians

ARTICLES

Systemic-to-pulmonary artery fistula following actinomycosis

HJ Knoepfli and B Friedli

We report a case of pleuropulmonary actinomycosis in a child followed by a most unusual complication: the appearance of a systemic-to- pulmonary artery fistula in the area where the abscess was drained. Fifteen months after successful treatment with penicillin and surgical drainage, a continuous murmur was heard over the scar. Aortic angiography showed multiple connections between the intercostal arteries and the left pulmonary artery through an angiomatous lesion in the left lower lobe. This resulted in a considerable left-to-right shunt. Possible pathogenic mechanisms are discussed.


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R. A. Dweik, J. Goldfarb, F. Alexander, and P. C. Stillwell
Actinomycosis and Plasma Cell Granuloma, Coincidence or Coexistence: Patient Report and Review of the Literature
Clinical Pediatrics, April 1, 1997; 36(4): 229 - 233.
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Copyright © 1975 by the American College of Chest Physicians.