title: The Non-Innoculous Hilar Calcification: Recurrent Pneumonia Secondary to Broncholith-Associated Actinomyces.
abstract: Dystrophic calcification of hilar lymph nodes is a common response to chronic inflammation related to several etiologies and rarely is associated with any clinical findings. A clinical scenario related to these calcified lymph nodes can thus be delayed by the low clinical suspicion associated with such a presumably innocuous finding. Normal respiratory movements however, can cause erosion into adjacent bronchi leading to a broncholith, complications of which can result in morbidity. We illustrate one of these complications, a partial obstruction with subsequent recurrent infection due to normal oral flora - actinomyces.
authors.affiliation: Louisiana State University Health Sciences Center in Shreveport, LA.
authors.forename: Oluwayemisi
authors.initials: O
authors.lastname: Ojemakinde
authors.affiliation: Louisiana State University Health Sciences Center in Shreveport, LA.
authors.forename: Adam
authors.initials: A
authors.lastname: Wellikoff
authors.affiliation: Louisiana State University Health Sciences Center in Shreveport, LA.
authors.forename: Catherine
authors.initials: C
authors.lastname: Chaudoir
authors.affiliation: Louisiana State University Health Sciences Center in Shreveport, LA.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Sangster
authors.affiliation: Louisiana State University Health Sciences Center in Shreveport, LA.
authors.forename: Alberto
authors.initials: A
authors.lastname: Simoncini
authors.affiliation: Louisiana State University Health Sciences Center in Shreveport, LA.
authors.forename: Carlos
authors.initials: C
authors.lastname: Previgliano
authors.affiliation: Louisiana State University Health Sciences Center in Shreveport, LA.
authors.forename: Disha Adelle
authors.initials: DA
authors.lastname: Desouza
mesh_terms: D000196:Actinomycosis / Q000209:etiology*; D001982:Bronchial Diseases / Q000000981:diagnostic imaging*; D001999:Bronchoscopy; D006801:Humans; D020347:Lithiasis / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000209:etiology*; D014057:Tomography, X-Ray Computed