A 75-year-old female with hemoptysis and recurrent respiratory infections.
This paper describes the case of a 75-year-old female who presented with significant hemoptysis over a 7-10 day period. She had a history of a left lower lobectomy 10 years prior for a "lung abscess." She subsequently had multiple episodes of cough, fevers, and possible pneumonia treated with multiple courses of Amoxicillin and Amoxicillin/Clavulanate. Review of her chest CT upon presentation to the hospital showed a large necrotic lingular infiltrate, which had been progressively increasing in size over at least one year. Bronchoscopy showed a yellowish, soft round body in the superior lingular subsegment. Endobronchial and transbronchial biopsies showed actinomyces species. This is a very interesting case of indolent actinomycosis which we suspect had a very slow progressive course secondary to the multiple courses of antibiotics that the patient was treated with.
Pulmonary & Critical Care Medicine, Division of Pulmonary, Allergy, Critical Care Medicine, and Sleep Medicine, Indiana University School of Medicine, Gatch Clinical Building, Room 260, 541 N. Clinical Dr., Indianapolis, IN 46202-5111, USA.
Mary S
MS
Baker
Clinical Medicine, Division of Pulmonary, Allergy, Critical Care Medicine, and Sleep Medicine, Indiana University School of Medicine, 550 N. University Boulevard, UH 4903, Indianapolis, IN 46202, USA.
Khalil
0000-0001-9255-7575
K
Diab