Endobronchial actinomycosis

A 63-year-old man was admitted to our hospital with obstructive pneumonia. The chest X-ray film and computed tomogram showed an infiltrative shadow in the right lower lung field. Examination with a fiberoptic bronchoscope showed a mass in the right basal bronchus. These findings suggested the diagno...

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Veröffentlicht in:Nihon Kyōbu Shikkan Gakkai zasshi 1996-09, Vol.34 (9), p.989-992
Hauptverfasser: Hashimoto, A, Ikewaki, J, Yamakami, Y, Yamagata, E, Yamasaki, T, Nagaoka, H, Nagai, H, Goto, Y, Nasu, M
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container_end_page 992
container_issue 9
container_start_page 989
container_title Nihon Kyōbu Shikkan Gakkai zasshi
container_volume 34
creator Hashimoto, A
Ikewaki, J
Yamakami, Y
Yamagata, E
Yamasaki, T
Nagaoka, H
Nagai, H
Goto, Y
Nasu, M
description A 63-year-old man was admitted to our hospital with obstructive pneumonia. The chest X-ray film and computed tomogram showed an infiltrative shadow in the right lower lung field. Examination with a fiberoptic bronchoscope showed a mass in the right basal bronchus. These findings suggested the diagnosis of lung cancer with obstructive pneumonia. Histopathological examination of a specimen obtained by transbronchial biopsy revealed sulfur granules with infiltration of neutrophils, which led to the diagnosis of endobronchial actinomycosis. After three months of treatment with penicillin, the mass disappeared. Comparison of bronchoscopic findings before and after penicillin treatment clearly showed the efficacy of therapy.
doi_str_mv 10.11389/jjrs1963.34.989
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subjects Actinomycosis - complications
Actinomycosis - diagnosis
Actinomycosis - drug therapy
Bronchial Diseases - complications
Bronchial Diseases - diagnosis
Bronchial Diseases - drug therapy
Diagnosis, Differential
Humans
Male
Middle Aged
Penicillins - therapeutic use
Pneumonia, Bacterial - etiology
title Endobronchial actinomycosis
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