J Korean Med Sci. 1999 Jun;14(3):315-318. English.
Published online Jun 19, 2009.
Copyright © 1999 The Korean Academy of Medical Sciences
Case Report

Endobronchial actinomycosis simulating endobronchial tuberculosis: a case report

Se Hwa Lee, Jae Jeong Shim, Eun Young Kang, Sang Youb Lee, Jae Yun Jo, Kwang Ho In, Se Hwa Yoo and Kyung Ho Kang
    • Department of Internal Medicine, Guro Hospital, College of Medicine, Korea University, Seoul, Korea.

Abstract

We report a case of a 70-year-old woman who presented with mild exertional dyspnea and cough. Fiberoptic bronchoscopic findings revealed an endobronchial polypoid lesion with stenotic bronchus. The lesion was very similar to endobronchial tuberculosis. Histologic examination of the biopsy specimen demonstrated Actinomyces infection. There was a clinical response to intravenous penicillin therapy. Primary endobronchial actinomycosis must be considered in the differential diagnosis of an endobronchial lesion, especially endobronchial tuberculosis in Korea.

Keywords
Lung diseases, obstructive; Bronchial diseases; Actinomycosis; Tuberculosis


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