Endobronchial Actinomycosis Associated with a Foreign Body: A 66-year?old Woman who Treated with Short Term Antibiotics

Keimyung Medical Journal 2013;32(1):123-129.

이물질과 관련된 기관지내 방선균증 환자의 단기간 항생제 치료

서지호; 이우현; 강선미; 손무현; 김민근; 현대성

Abstract

Actinomycosis is an infrequent chronic granulomatous and suppurative diseases; which belonging to the normal flora of the oropharynx; gastrointestinal tract and female genitalia. About 15% of the infections caused by actinomyces involve the thorax. Aspiration of organism from the oropharynx is the usual source of thoracic actinomyces infection. Foreign body aspiration may play a role in the development of endobronchial actinomycoces. We report a case of a 66-yearold woman who presented with a recurrent hemoptysis. Fiberoptic bronchoscopy revealed edematous and irregular mucosal surface of bronchus embedded with a fish bone. Histologic examination of the biopsy specimen demonstrated actinomycoces infection. There was a clinical response to bronchoscopic removal of foreign body followed by short term antibiotics therapy. We suggests that short term of oral antibiotics therapy combined with a bronchoscopic foreign body removal might be effective as a long term use of intravenous and oral antibiotics.

Key Words: Endobronchial actinomycosis, Fibrotic bronchoscopy, Fish bone, Foreign body, Hemoptysis