Revista Cubana de Medicina General Integral

Prehospital fibrinolysis in Acute Coronary Syndrome

Assessment of Diabetes Education Program in the Elderly at Hermanos Cruz Polyclinic

Program for family planning and reproductive risk gender sensitive

Approach to the study of violence in the relationship in women with sexually transmitted infections

Community intervention to improve the elderlyquality of life

Knowledge on sexuality aspects of adolescents'parents from a doctor's practice

Tackling outbreaks of infectious diseases in primary health care

Acute coronary syndrome and self-efficacy for coping with stress

Pulmonary Tuberculosis / HIV Infections: Association between Immune Status and Radiological Findings

Relationship between Insulin Resistance and Polycystic Ovary Syndrome and Its Metabolic Comorbidities

Violence against Women: Approach to Primary Care Professionals from A Bioethical Perspective

Thoracic Actinomycosis

La actinomicosis torácica es una infección bacteriana lentamente progresiva, producida por bacterias grampositivas anaerobias o microaerófilas que colonizan la orofaringe y el tracto gastrointestinal. Su baja frecuencia en la actualidad y sus distintas ubicaciones anatómicas constituyen un desafío diagnóstico para las distintas especialidades de la medicina. En este trabajo se presenta el caso de un paciente de 44 años de edad, con antecedentes de salud, que ingresa en el Hospital Regional de Zacapa en Guatemala por fístulas en hemitórax izquierdo y neumonía en vértice homolateral de 6 meses de evolución, interpretado inicialmente como tuberculosis pulmonar. Luego de exámenes complementarios y otros como Radiografía de Tórax, Baciloscopia, VIH y Cultivo de secreción de la lesión, se realizó Biopsia de la lesión, observándose gránulos de azufre con abundante tejido de granulación y celularidad compatible con Actinomyces israelii.

Thoracic actinomycosis is a slowly progressing bacterial infection caused by gram-positive anaerobic or microaerophilic bacteria that colonize oropharynx and gastrointestinal tract. Its low frequency at present and its different anatomical locations are a diagnostic challenge for various medical specialties. The case of a 44-year-old man with health history is presented here. This patient was admitted at Zacapa Regional Hospital in Guatemala due to a fistula in left chest and pneumonia in ipsilateral vertex for six months, initially it was interpreted as pulmonary tuberculosis. After further examination and studies such as chest x-rays, smear, HIV and culture of discharge of the injury, this patient underwent a biopsy of the lesion, showing sulfur granules and abundant granulation tissue and Actinomyces israelii compatible cellularity

Leukocytoclastic Vasculitis

Pedagogical Approach of the Course on Primary Health Care and the Municipal Organization of the Master Course on Primary Health Care