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ARTICLE |

Actinomycosis of Pericardium

Kanwal Mohan, MD; Shakuntla I. Dass, MD; Edward E. Kemble, MD
JAMA. 1974;229(3):321. doi:10.1001/jama.1974.03230410045025.
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ACTINOMYCOSIS is a progressive granulomatous disease with focal or systemic manifestations characterized by a tendency to produce multiple draining sinuses.1 It is an uncommon infection, involving the heart in less than 2% of reported cases.2 Heart disease is usually secondary to extension of primary thoracic actinomycosis. When the heart is involved, 42% of the patients have cardiac symptoms, with congestive heart failure predominating.3 We present a case of actinomycotic purulent pericarditis and congestive heart failure in which the patient required pericardiectomy for restoration of normal cardiac function.

Report of a Case  A 51-year-old white woman was admitted with shortness of breath of two days' duration. She gave a history of low-grade temperature for the past two weeks and cough, nausea, and vomiting for the past four days. She was never hospitalized before except for tonsillectomy in early childhood.The patient was acutely ill, with shortness of breath;

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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