A case of primary endobronchial actinomycosis associated with a foreign body.
- Author:
Su Ho KIM
1
;
Man Jo JEON
;
Gun Suk KIM
;
Ki Suck JUNG
;
Myung Goo LEE
;
Kyung Chan CHOI
;
Seung Joon LEE
Author Information
1. Department of Internal Medicine, College of Medicine, Hallym University, Chuncheon, Korea. mglee@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Actinomycosis;
Foreign body;
Bronchoscopy
- MeSH:
Actinomyces;
Actinomycosis*;
Bacteria, Anaerobic;
Biopsy;
Bronchi;
Bronchoscopy;
Colon;
Cough;
Diagnosis;
Female;
Foreign Bodies*;
Humans;
Inflammation;
Middle Aged;
Mouth;
Pelvis;
Penicillin G;
Radiography;
Sputum;
Sulfur;
Thorax;
Vagina
- From:Korean Journal of Medicine
2003;65(Suppl 3):S752-S756
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Actinomycosis is an indolent, slowly progressive infection caused by anaerobic bacteria, primarily of the genus Actinomyces, that colonize the mouth, colon, and vagina. A vital step in the development of actinomycosis is disruption of the mucosal barrier. Actinomycosis occurs most frequently at a cervicofacial, abdominal, and pelvic region. Thoracic actinomycosis usually follows an indolent progressive course with involvement of the pulmonary parenchyma and/or the pleural space. Rarely, pulmonary nodules or endobronchial lesions can occur. We report a case of a 62-year-old woman of chronic cough with sputum and pulmonary mass with consolidation at the right lower lobe on chest radiography. Fiberoptic bronchoscopic findings revealed a polypoid tumor like mass completely obstructing RLL lobar bronchus and a hard bony material embedded there. Histologic examination of the biopsy specimens demonstrated acute and chronic inflammation with calcified material and a sulfur granule, which led to the diagnosis of endobronchial actinomycosis. The patient responded to several bronchoscopic procedures and intravenous penicillin G.
