Diagnosis and Treatment of Endobronchial Actinomycosis / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
;
: 576-581, 2005.
Artículo
en Coreano
| WPRIM
| ID: wpr-102883
ABSTRACT
BACKGROUND:
Thoracic actinomycosis is a relatively uncommon anaerobic infection caused by Actinomyces israelii. There have been only a few case reports of endobronchial actinomycosis. The aim of this study was to evaluate the clinical manifestation and treatment of endobronchial actinomycosis. MATERIAL ANDMETHODS:
Seven patients with endobronchial actinomycosis, who were diagnosed in the past 10 years, were retrospectively reviewed.RESULTS:
Cough and sputum were the most common symptoms. The chest radiograph and computed tomography showed necrotic consolidation (n=3), atelectasis (n=2), mass (n=1) and an endobronchial nodule (n=1). Proximal broncholithiasis was observed in five patients. All cases were initially suspected to have either lung cancer or tuberculosis. In these patients, the median duration of intravenous antibiotics was 3 days (range 0-12 days) and the median duration of oral antibiotics was 147 days (range 20-412 days). Two patients received oral antibiotic therapy only. There was no clinical evidence of a recurrence.CONCLUSION:
Endobronchial actinomycosis frequently manifests as a proximal obstructive calcified endobronchial nodule that is associated with distal post-obstructive pneumonia. The possibility of endobronchial actinomycosis is suggested when findings of broncholithiasis are present at chest CT. The traditional recommendation of 2-6 weeks of intravenous antibiotics and 6-12 months of oral antibiotic therapy are not necessarily essential in all cases of endobronchial actinomycosis.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Neumonía
/
Recurrencia
/
Atelectasia Pulmonar
/
Esputo
/
Tuberculosis
/
Actinomyces
/
Broncoscopía
/
Actinomicosis
/
Radiografía Torácica
/
Tomografía Computarizada por Rayos X
Tipo de estudio:
Estudio diagnóstico
/
Guía de Práctica Clínica
/
Estudio observacional
Límite:
Humanos
Idioma:
Coreano
Revista:
Tuberculosis and Respiratory Diseases
Año:
2005
Tipo del documento:
Artículo
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