A Case of Primary Endobronchial Actinomycosis Presenting as a Complicated Parapneumonic Effusion.
- Author:
Ji Un LEE
1
;
Mi Hee KIM
;
Jin Gu KANG
;
Eun Sook NAM
;
Yong Bum PARK
Author Information
1. Department of Internal Medicine , Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. bfspark@medimail.co.kr
- Publication Type:Case Report
- Keywords:
Actinomycosis;
Bronchial disease;
Pleural effusion
- MeSH:
Actinomycosis*;
Biopsy;
Bronchi;
Bronchial Diseases;
Chest Pain;
Diagnosis;
Fever;
Humans;
Middle Aged;
Pleural Effusion;
Thorax
- From:Soonchunhyang Medical Science
2013;19(2):110-114
- CountryRepublic of Korea
- Language:English
-
Abstract:
Endobronchial actinomycosis is a rare but important and challenging diagnosis to make. We report a case of 57 year-old man who presented with a fever and a right-sided chest pain diagnosed as an endobronchial actinomycosis. Chest computed tomography showed a segmental obstruction and consolidations in right middle lobe combined with an ipsilateral multiloculated pleural effusion. Bronchoscopic biopsy of a mass obstructing the medial segmental bronchus of right middle lobe revealed actinomycosis. This is the first reported case of primary endobronchial actinomycosis that presented with a chest pain and a complicated parapneumonic effusion. Primary endobronchial actinomycosis can be a cause of complicated parapneumonic effusion.