title: [A case of bronchial actinomycosis associated with bronchoscopically removed broncholith].
abstract: A 57-year-old woman with bronchial actinomycosis associated with broncholith is presented. She had suffered from fever and productive cough for 7 years. Her chest roentgenograms showed atelectasis of the middle lobe and calcification in the middle lobe bronchus. Bronchoscopic examination revealed a broncholith covered with pus and granulomatous tissue. The biopsy specimen revealed sulfur granules containing a partially calcified lesion, and it was diagnosed as actinomycosis. After treatment with antibiotics, the broncholith became movable, and it was removed bronchoscopically. Its shape was like a molding of the right middle lobe bronchus. We speculate that the growth of this broncholith partially resulted from chronic inflammation associated with actinomycelial infection.
authors.affiliation: First Department of Medicine, School of Medicine, Hokkaido University, Sapporo, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Watanabe
authors.forename: I
authors.initials: I
authors.lastname: Nakajima
authors.forename: H
authors.initials: H
authors.lastname: Kunikane
authors.forename: N
authors.initials: N
authors.lastname: Sukoh
authors.forename: H
authors.initials: H
authors.lastname: Takekawa
authors.forename: S
authors.initials: S
authors.lastname: Ogura
authors.forename: S
authors.initials: S
authors.lastname: Abe
authors.forename: Y
authors.initials: Y
authors.lastname: Kawakami
mesh_terms: D000196:Actinomycosis / Q000150:complications*; D001982:Bronchial Diseases / Q000150:complications*; D001999:Bronchoscopy; D002137:Calculi / Q000150:complications* / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged