Document Detail


A case of endobronchial actinomycosis.
MedLine Citation:
PMID:  11242814     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Actinomycosis is an infectious disease caused by certain Actinomyces species. Actinomyces are Gram-positive, non-spore forming organisms characterized by obligate or facultative anaerobic rods that normally inhabit anaerobic niches of the human oral cavity. Cervicofacial, abdominal, pelvic and thoracic infections of Actinomyces are not uncommon, but endobronchial actinomycosis is rarely reported. Endobronchial actinomycosis can be misdiagnosed as unresolving pneumonia, endobronchial lipoma or malignancies. Endobronchial actinomycosis should be included in the differential diagnosis of any endobronchial mass. We report a case of a 43-year-old man who presented with a productive cough and pulmonary consolidation at the right lower lobe on chest radiograph. Fiberoptic bronchoscopy revealed obstruction of the right superior segment of the lower bronchus with an exophytic endobronchial mass. Endobronchial actinomycosis was confirmed by demonstration of sulfur granules in the bronchoscopic biopsy of the mass. Intravenous administration of penicillin G followed by oral amoxacillin/clavulanic acid therapy for 3 months resulted in improving symptoms. Infiltrative consolidation on the chest X-ray was markedly decreased.
Authors:
S L Jin; H P Lee; J I Kim; J Y Chin; S J Choi; M Joo; H K Yum
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Korean journal of internal medicine     Volume:  15     ISSN:  1226-3303     ISO Abbreviation:  Korean J. Intern. Med.     Publication Date:  2000 Dec 
Date Detail:
Created Date:  2001-03-12     Completed Date:  2001-03-22     Revised Date:  2006-09-26    
Medline Journal Info:
Nlm Unique ID:  8712418     Medline TA:  Korean J Intern Med     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  240-4     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Inje University, College of Medicine, Seoul Paik Hospital, Korea.
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MeSH Terms
Descriptor/Qualifier:
Actinomycosis / diagnosis*,  drug therapy
Adult
Bronchial Diseases / diagnosis*,  drug therapy
Diagnosis, Differential
Humans
Male

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