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Case Reports
. 2014;13(1):52-6.

Pulmonary actinomycosis with endobronchial involvement: a case report and literature review

Donya Farrokh  1 , Fariba Rezaitalab  2 , Banafsheh Bakhshoudeh  1
Affiliations
Case Reports

Pulmonary actinomycosis with endobronchial involvement: a case report and literature review

Donya Farrokh et al. Tanaffos. 2014.

Abstract

Pulmonary actinomycosis is a rare chronic pulmonary infection caused by actinomyces, a Gram-positive, microaerophilic bacterium. Pulmonary involvement other than cervicofacial or abdominopelvic actinomycosis is uncommon and often leads to a misdiagnosis of pulmonary tuberculosis or lung cancer. Endobronchial involvement is very rare in pulmonary actinomycosis. Here in, we describe the case of a 66-year-old male patient, referred with a history of massive hemoptysis since a few weeks ago. Plain chest radiograph and computerized tomographic scan revealed a dens consolidation in the right upper lobe; which was confirmed to be pulmonary actinomycosis with endobronchial involvement by transbronchial biopsy.

Keywords: Actinomycosis; Pulmonary; Sulphur granules.

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Figures

Figure 1
Figure 1
Chest X ray displaying consolidation in the right upper lobe.
Figure 2
Figure 2
Axial CT scan in lung window setting showing air space consolidation with air bronchogram in the right upper lobe.
Figure 3
Figure 3
Histological examination of the specimen demonstrating a filamentous microorganism with sulphur granules indicating actinomycosis (Giemsa staining).
See this image and copyright information in PMC

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