Soonchunhyang Med Sci.
2013 Dec;19(2):110-114.
A Case of Primary Endobronchial Actinomycosis Presenting as a Complicated Parapneumonic Effusion
- Affiliations
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- 1Department of Internal Medicine , Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. bfspark@medimail.co.kr
- 2Department of Pathology, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Abstract
- 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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