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이물질과 관련된 기관지내 방선균증 환자의 단기간 항생제 치료

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Journal Title
Keimyung Medical Journal
Issued Date
2013
Keyword
Endobronchial actinomycosisFibrotic bronchoscopyFish boneForeign bodyHemoptysis
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.
Alternative Title
Endobronchial Actinomycosis Associated with a Foreign Body: A 66-year–old Woman who Treated with Short Term Antibiotics
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.32(1) : 123-129, 2013
Type
Article
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/15607
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2013
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