Actinomycosis With Septic Pulmonary Emboli Developing After Dental Abscess

From the Department of Internal Medicine, St. Luke’s Hospital, Chesterfield, MO. A 55-year-old man presented with pleuritic right-sided chest pain, mild hemoptysis, and chills for 5 days. Six days previously, he had a tooth extraction and abscess drainage. Computed tomography of the chest revealed bilateral cavitary nodules representing septic pulmonary emboli. Antibiotics were initiated, and bronchoscopy with transbronchial biopsy revealed mild organizing pneumonitis. The patient’s clinical condition worsened, and subsequent chest computed