%0 Case Reports
%T Pericardial actinomycosis.
%A Paterson GE
%A Dickens FJ
%A Hurdman JA
%A Pirzada OM
%J BMJ Case Rep
%V 17
%N 1
%D 2024 Jan 9
%M 38195185
暂无%R 10.1136/bcr-2023-257733
%X A man in his 50s, with a history of night sweats and weight loss, presented acutely with dyspnoea and chest pain. Imaging revealed right middle lobe consolidation and a large pericardial effusion. The diagnosis of actinomycosis was made using endobronchial ultrasound-guided sampling from the pericardial effusion. An orthopantomogram demonstrated that the source was a large cavity in the left lower wisdom tooth. This tooth was extracted before the completion of his antibiotic course, and the patient made a full recovery. Cardiac actinomycosis is rare, and there are few case reports describing endobronchial ultrasound-guided sampling of pericardial fluid.