A case of primary endobronchial actinomycosis associated with a foreign body / 대한내과학회지
Korean Journal of Medicine
;
: S752-S756, 2003.
Article
in Korean
| WPRIM
| ID: wpr-138922
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pelvis
/
Penicillin G
/
Sputum
/
Sulfur
/
Thorax
/
Bacteria, Anaerobic
/
Vagina
/
Biopsy
/
Actinomyces
/
Bronchi
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2003
Type:
Article
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