J Korean Med Sci.  1999 Jun;14(3):315-318. 10.3346/jkms.1999.14.3.315.

Endobronchial actinomycosis simulating endobronchial tuberculosis: a case report

Affiliations
  • 1Department of Internal Medicine, Guro Hospital, College of Medicine, Korea University, Seoul.

Abstract

We report a case of a 70-year-old woman who presented with mild exertional dyspnea and cough. Fiberoptic bronchoscopic findings revealed an endobronchial polypoid lesion with stenotic bronchus. The lesion was very similar to endobronchial tuberculosis. Histologic examination of the biopsy specimen demonstrated Actinomyces infection. There was a clinical response to intravenous penicillin therapy. Primary endobronchial actinomycosis must be considered in the differential diagnosis of an endobronchial lesion, especially endobronchial tuberculosis in Korea.

Keyword

Lung diseases, obstructive; Bronchial diseases; Actinomycosis; Tuberculosis

MeSH Terms

Actinomycosis/pathology*
Actinomycosis/microbiology
Actinomycosis/diagnosis
Aged
Bronchial Diseases/pathology*
Bronchial Diseases/microbiology
Bronchial Diseases/diagnosis
Case Report
Diagnosis, Differential
Female
Human
Tomography, X-Ray Computed/methods
Tuberculosis, Pulmonary/pathology*
Tuberculosis, Pulmonary/diagnosis
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