| A case of endobronchial actinomycosis associated with a foreign body aspiration |
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Jin Kyu Noh, Soon Hee Jung, Woo Cheol Kwon, Min Su Lee, Won Yeon Lee, Kye Chul Shin, Suk Joong Yong |
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| 이물질 흡인과 관련된 기관지 방선균증 1예 |
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노진규·정순희·권우철·이민수·리원연·신계철·용석중, Soon Hee Jung, Woo Cheol Kwon, Min Su Lee, Won Yeon Lee, Kye Chul Shin, Suk Joong Yong |
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| Abstract |
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Actinomycosis is a chronic suppurative infection that infiltrates mucosa associated tissues. Primary endobronchial actinomycosis
is rare and very uncommon in association with a foreign body aspiration. We diagnosed endobronchial actinomycosis associated
with a fish bone aspiration. The patient was a 55-year-old male with no history of hypertension, diabetes, or pulmonary
tuberculosis. About 5 years ago, he had an episode of choking while eating fish, and had suffered a chronic cough and sputum since
that episode. The patient underwent a fiberoptic bronchoscopy, and granulation tissue and foreign bodies were noted in the right
lower bronchus. We diagnosed actinomycosis by the presence of sulfur granules in the bronchial wash cytology. We removed the
foreign bodies, which were identified as fish bones, by rigid bronchoscopy. The patient was treated with intravenous antibiotics for
1 week and oral antibiotics for 5 weeks, and his symptoms resolved. Serial fiberoptic bronchoscopy documented a gradual resolution
of the granulation tissue and inflammation. (Korean J Med 77:S1178-S1182, 2009) |
| Key Words:
Actinomycosis; Foreign bodies; Bronchoscopy |
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