• Nihon Kyobu Shikkan Gakkai Zasshi · Mar 1992

    Case Reports

    [A case of bronchial actinomycosis associated with bronchoscopically removed broncholith].

    • N Watanabe, I Nakajima, H Kunikane, N Sukoh, H Takekawa, S Ogura, S Abe, and Y Kawakami.
    • First Department of Medicine, School of Medicine, Hokkaido University, Sapporo, Japan.
    • Nihon Kyobu Shikkan Gakkai Zasshi. 1992 Mar 1; 30 (3): 441-6.

    AbstractA 57-year-old woman with bronchial actinomycosis associated with broncholith is presented. She had suffered from fever and productive cough for 7 years. Her chest roentgenograms showed atelectasis of the middle lobe and calcification in the middle lobe bronchus. Bronchoscopic examination revealed a broncholith covered with pus and granulomatous tissue. The biopsy specimen revealed sulfur granules containing a partially calcified lesion, and it was diagnosed as actinomycosis. After treatment with antibiotics, the broncholith became movable, and it was removed bronchoscopically. Its shape was like a molding of the right middle lobe bronchus. We speculate that the growth of this broncholith partially resulted from chronic inflammation associated with actinomycelial infection.

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