title: Pulmonary actinomycosis. A cause of endobronchial disease in a patient with AIDS.
abstract: 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.
authors.affiliation: Division of Pulmonary/Critical Care Medicine, Cabrini Medical Center, New York.
authors.forename: I
authors.initials: I
authors.lastname: Cendan
authors.forename: A
authors.initials: A
authors.lastname: Klapholz
authors.forename: W
authors.initials: W
authors.lastname: Talavera
mesh_terms: 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