A study of the literature, with particular reference to pulmonary actinomycosis, reveals that the disease is usually fatal. It is characterized by a long, progressive course of from three months to several years. Typically, these cases progress from miliary consolidations to massive fibrosis, multiple abscesses and finally sinus formations through the chest wall.
Potassium iodide and radiation therapy have been used in the treatment, but recovery after pulmonary involvement has seldom occurred.
Myers1 reports the successful treatment of five of his six cases of actinomycosis affecting different portions of the body. His method of oral administration of thymol was followed in the treatment of the patient here described.
Roentgenologic and bacteriologic evidence of pulmonary actinomycosis were both unquestioned in this patient. Several radiographic examinations subsequent to the institution of thymol therapy demonstrated progressive resolution of a lesion that extensively involved the right lung.
REPORT OF CASE
J. G., a