A Case of Primary Endobronchial Actinomycosis Presenting as a Complicated Parapneumonic Effusion
Ji-Un LEE; Mi-Hee KIM; Jin-Gu KANG; Eun-Sook NAM; Yong-Bum PARK.
Soonchunhyang Medical Science
; : 110-114, 2013.
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| WPRIM | ID: wpr-167278
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.
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