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 Case Reports |
| A Case of Endobronchial Actinomycosis Presented with Broncholithiasis |
| Sook In Jung, Jung Hal Chun, Jong Rak Hong, Young Min Koh, Man Pyo Chung, O Jung Kwon, Chong H. Rhee, Kyong Ran Peck, and Jae Hoon Song |
| Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University College of Medicine, Seoul, Korea |
Vol.17 Num.2 (p151~155)
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Endobronchial actinomycosis is considered as an exceptional event. We report a case of a 49-year-old woman who presented with cough and exertional dyspnea for 20 months. Her chest X-ray showed calcified lymph nodes in the right lower paratracheal and subcarinal area and consolidation in the right middle lobe. Bronchoscopic examination demonstrated whitish broncholithiasis with mucosal nodularity in the bronchus intermedius obstructing the lumen near-completely. The biopsy specimen revealed sulfur granules and calcified material which were consistent with actinomycosis. Prolonged oral antibiotic treatment resulted in complete recovery, without need for surgical resection. |
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Keywords : Endobronchial actinomycosis, Broncholithiasis, Sulfur granule |
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