A case of primary endobronchial actinomycosis associated with a foreign body / 대한내과학회지
Korean Journal of Medicine
; : S752-S756, 2003.
Article
em Ko
| WPRIM
| ID: wpr-138922
Biblioteca responsável:
WPRO
ABSTRACT
Actinomycosis is an indolent, slowly progressive infection caused by anaerobic bacteria, primarily of the genus Actinomyces, that colonize the mouth, colon, and vagina. A vital step in the development of actinomycosis is disruption of the mucosal barrier. Actinomycosis occurs most frequently at a cervicofacial, abdominal, and pelvic region. Thoracic actinomycosis usually follows an indolent progressive course with involvement of the pulmonary parenchyma and/or the pleural space. Rarely, pulmonary nodules or endobronchial lesions can occur. We report a case of a 62-year-old woman of chronic cough with sputum and pulmonary mass with consolidation at the right lower lobe on chest radiography. Fiberoptic bronchoscopic findings revealed a polypoid tumor like mass completely obstructing RLL lobar bronchus and a hard bony material embedded there. Histologic examination of the biopsy specimens demonstrated acute and chronic inflammation with calcified material and a sulfur granule, which led to the diagnosis of endobronchial actinomycosis. The patient responded to several bronchoscopic procedures and intravenous penicillin G.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Pelve
/
Penicilina G
/
Escarro
/
Enxofre
/
Tórax
/
Bactérias Anaeróbias
/
Vagina
/
Biópsia
/
Actinomyces
/
Brônquios
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
Idioma:
Ko
Revista:
Korean Journal of Medicine
Ano de publicação:
2003
Tipo de documento:
Article