Endobronchial actinomycosis associated with a foreign body--successful short-term treatment with antibiotics--.
Primary endobronchial actinomycosis is a very rare condition. We report herein the case of a healthy 66-year-old woman who presented with right lower lobe endobronchial actinomycosis associated with aspiration of a foreign body, which was presumed to be a fish bone swallowed 28 months previously. The patient achieved complete clinical and radiological recovery after removal of the foreign body and 1-month antibiotic therapy of oral amoxycillin. Our experience in the management of this patient should help clinicians to realize the importance of bronchoscopic investigation and the management of this rare but treatable condition.
Maki
Kanako
K
First Department of Medicine, Hokkaido University School of Medicine, Sapporo. kana5@med.hokudai.ac.jp
Shinagawa
Naofumi
N
Nasuhara
Yasuyuki
Y
Oizumi
Satoshi
S
Domen
Hiromitsu
H
Haga
Hironori
H
Nishimura
Masaharu
M
D000190:Actinomyces; D000196:Actinomycosis / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology*; D000368:Aged; D000658:Amoxicillin / Q000627:therapeutic use*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001982:Bronchial Diseases / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology*; D001999:Bronchoscopy; D005260:Female; D005547:Foreign Bodies; D006801:Humans; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D000658:Amoxicillin