We have had the chance to follow three patients with thoracic actinomy
cosis in a relatively short period of time (18 months). They were thre
e male patients, with chronic dental infections. The illness appeared
as toxic syndrome and fever. In all three cases diagnosis was made thr
ough samples obtained through fibropticbronchoscopy. At the same time
all of them evolved favorably to the antibiotic treatment (penicillin
and/or tetracyclines) prescribed. We conclude that the diagnosis of th
oracic actinomycosis should be suspected in those patients with a comp
atible clinical and radiological condition, and who has suffered previ
ous weakening diseases and periodontal lesions.