Pulmonary actinomycosis. A cause of endobronchial disease in a patient with AIDS.
We report a case of a 47-year-old man with AIDS who presented with fever, cough and a lingular infiltrate. Flexible fiberoptic bronchoscopy revealed an endobronchial exophytic mass with extensive purulent exudate which on Gram stain and cytology from bronchial washings revealed Actinomyces infection. There was a clinical response to penicillin therapy, and on repeat bronchoscopic examination, there was a partial resolution of the endobronchial infection. To our knowledge, this is the first known case of endobronchial pulmonary actinomycosis in a patient with AIDS.
Cendan
I
I
Division of Pulmonary/Critical Care Medicine, Cabrini Medical Center, New York.
Klapholz
A
A
Talavera
W
W
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis; D000196:Actinomycosis / Q000175:diagnosis; D001982:Bronchial Diseases / Q000175:diagnosis; D001999:Bronchoscopy; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis; D008297:Male; D008875:Middle Aged